UnifyCX · 12 hours ago
Member Service Representatives - Work From Home
United States
Full-time
Remote
Entry, Mid Level
$18/hr - $18/hr
2+ years expUnifyCX is a transformative AI platform that empowers teams to deliver efficient customer experiences. They are seeking experienced Member Service Representatives to provide timely and accurate information to insured customers and handle various inquiries related to claims and benefits.
Artificial Intelligence (AI)OutsourcingSoftware
Responsibilities
Receive, answer, and/or resolve calls from insured customers and their dependents, providers and their staff, employer/group staff, and brokers
Provide timely and accurate information to basic incoming customer calls from members, providers, and other external and internal constituents including:
Issuing authorizations
Handling claim inquiries from providers and members
Communicate the correct information regarding accessibility, claims status and other calls of a service nature
Providing benefits information
Process customer claims according to established department policies and procedures
Checking voicemail boxes and handling customer/provider requests for:
I.D. cards
Authorizations
Customer Service questions and issues
Fulfill rapid call volume by handling the appropriate amount of incoming calls
Complete Provider Relations requests for service
Provide timely feedback to the company regarding customer service failures and/or customer/provider concerns
Partner with Sales and Provider Relations to meet and exceed customers’ expectations
Provide excellent customer service and handle all customers in a professional and courteous manner
Other duties as assigned by management
Qualification
Required
Two years customer service or call center experience
Strong computer and technical skills to support heavy key data entry
Excellent customer service skills (friendly, courteous and helpful)
Excellent interpersonal verbal and written communication skills
The ability to diffuse volatile situations, share information, and educate callers regardless of customers level of understanding
Understanding of the health insurance or insurance industries
Strong execution and follow-up skills
Goal oriented with ability to meet production standards
Team orientation and ability to work effectively across functional areas of the company
Accurate and efficient data entry skills
Strong analytical skill and ability to demonstrate good judgment
Ability to coordinate multiple tasks and projects
Skilled in dealing with all customers in an efficient and effective manner
Preferred
Two years of experience in the health care industry or insurance environment preferred
Bilingual English/Spanish (a plus but not required)
Benefits
Health, life, vision, and dental insurance
4% max matching 401K
Other financial opportunity options
Company
UnifyCX
UnifyCX offers AI-powered customer experience solutions supported by human agents for business process outsourcing.
5001-10000 employees
Funding
Current Stage
Late StageRecent News
2025-12-24
Company data provided by crunchbase