Call Center Representative

Position Summary We are seeking a dedicated and compassionate Call Center Representative to join our team. In this role, you will deliver a high-quality service experience by providing accurate, empathetic, and efficient support to participants and external partners. You will serve as a key point of contact, ensuring every interaction is handled with professionalism, courtesy, and care. Key Responsibilities Develop and maintain a strong working knowledge of benefit plan provisions, eligibility requirements, and claims processes Respond promptly and accurately to incoming phone calls, emails, written correspondence, and in-person inquiries Explain claim payments, clarify denials, verify eligibility and benefits, and quote applicable payment amounts Research and resolve eligibility or claim-related issues in collaboration with internal teams and external vendors Escalate complex participant concerns to appropriate team members for resolution Accurately document all interactions within th...