Position Overview

We’re seeking passionate and detail-oriented individuals to join our team as Customer Service Representatives II supporting insurance benefit plans. In this role, you’ll assist members with questions about their health, dental, vision, or other insurance coverage. You’ll also help resolve issues, explain benefits, and ensure a secure and positive experience for every caller.

Key Responsibilities

• Member Support: Answer inbound calls from members regarding insurance benefits, eligibility, claims, and coverage details.

• Issue Resolution: Assist with billing concerns, denied claims, ID card requests, and provider network questions.

• Claims & Benefits Guidance: Clearly explain insurance terms, plan features, and claims processes.

• Fraud Awareness: Identify and escalate potential fraudulent activity or misuse of benefits.

• Account Updates: Help members update personal information and ensure compliance with HIPAA and privacy regulations.

• Education & Engagement: Promote awareness of preventive care, wellness programs, and digital tools.

• Documentation: Accurately record all interactions and resolutions in the CRM system.

• Compliance: Follow all policies and regulations to protect member data and ensure service quality.

Qualifications

• High school diploma or equivalent (additional education or certifications in healthcare or insurance is a plus)

• 2+ years of experience in customer service, preferably in health insurance or benefits administration

• Strong communication and active listening skills

• Ability to explain complex insurance concepts in a simple, supportive way

• Proficiency with customer service software and basic computer applications

• Strong problem-solving and multitasking abilities

• Flexible availability to work various shifts, including weekends and holidays

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance