Customer Service Representative

Nations Benefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their members.

Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction.

Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to deliver high-quality, value-based care to millions of members.

We offer a fulfilling work environment that attracts top talent and encourages all associates to contribute to delivering premier service to internal and external customers alike. Our goal is to transform the healthcare industry for the better! We provide career advancement opportunities from within the organization across multiple locations in the US, South America, and India.

We’re looking for extremely motivated, high-energy, people to join our inbound/outbound Customer Service Team. The primary role you play is answering inbound and returning calls from prospective members inquiring about Medicare Advantage products offered through our clients.

• Handle inbound calls from prospective members for Medicare Advantage plans by following approved script.
• Make outbound calls to prospective members that have requested a callback.
• Enter prospective member information into company’s Customer Relationship Management System (CRM) in an accurate and compliant manner.
• Follow approved script to determine the prospective member’s eligibility for Medicare Advantage plans and update CRM system accordingly.
• Warm Transfer prospective members to designated telesales team(s)
• Obtain approved agreement (Scope of Appointment) from prospective members verbally that want a home appointment by following approved script and documenting it in CRM system.
• Inform prospective members of available seminars and register them as needed through the CRM system accordingly.
• Fulfillment of informational kits as requested by prospective members through the CRM system.
• Follow all Federal, State, Cirrus and Clients policies and procedures.

• Customer Focus, technology savvy, Customer Service, Data Entry Skills, Listening, Phone Skills, Verbal Communication, Building Relationships, People Skills, Interpersonal Savvy, Problem Solving, Multi-tasking

• High school diploma or general education degree (GED)
• Must have some call center experience.

• The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

Nations Benefits is an equal opportunity employer.