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Health Benefits Customer Service Call Center Representative - Remote

Posted Yesterday
Customer Service
Full Time
FL, USA

Overview

Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Health Benefits Customer Service Call Center Representative, you’ll play an important role in helping us offer customized, self-funded insurance options to our clients and members.

In Short

  • Handle high-volume inbound calls with professionalism, empathy, and accuracy.
  • Provide clear, accurate information regarding health insurance benefits, claims, billing, and eligibility.
  • Assist members in navigating online resources and submitting requests.
  • Document all call interactions in customer management systems in compliance with company and regulatory requirements.
  • Adhere to call handling standards, including average handle time, quality scores, and first call resolution targets.
  • Follow compliance guidelines including HIPAA, CMS, and state-specific regulations.
  • Escalate complex issues appropriately to ensure timely resolution.
  • Stay current with updates to health plan policies, systems, and processes.
  • Contribute to continuous improvement by identifying trends and opportunities for enhanced customer experience.

Requirements

  • High school diploma or equivalent (associate or bachelor’s degree preferred).
  • 1–2 years of customer service experience; prior call center or healthcare/insurance experience preferred.
  • Strong verbal, written, and interpersonal communication skills, with the ability to simplify complex information.
  • Proficiency in Microsoft Office (Outlook, Word, Excel, Teams) and ability to learn new software systems quickly.
  • Excellent documentation and data entry accuracy.
  • Strong reading comprehension skills.
  • Ability to work in a structured, fast-paced environment while meeting productivity and quality metrics.
  • On-camera presence essential for training and meetings.

Benefits

  • Fantastic medical, dental, and vision insurance*
  • Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!
  • Company-provided Basic Life and AD&D
  • Company-paid Short-Term and Long-Term Disability**
  • Flexible Spending Accounts*
  • 401(k) Retirement Plan with up to a 6% employer match** (100% fully vested after 3 years)
  • 10+ paid holidays
  • Generous paid vacation and sick time
  • Annual Volunteer Paid Day
  • Annual Tuition Reimbursement
  • Annual Health and Wellness Reimbursement
  • Lots of fun company events
Cobalt Benefits Group logo

Cobalt Benefits Group

Cobalt Benefits Group LLC is a trusted third-party administrator (TPA) specializing in self-funded benefit plans, dedicated to helping employers find high-quality coverage at affordable costs. With over 30 years of experience and a team of more than 180 employees, CBG administers self-funded insurance benefits through its subsidiaries, including EBPA, Blue Benefit Administrators of Massachusetts, and CBA Blue. The company focuses on building customized self-funded health plans, managing claim payments and disputes, and providing specialized programs such as FSAs, HSAs, COBRA, and retiree billing. CBG is committed to delivering tailored employee benefit solutions that meet the diverse needs of employers across the region.

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