**Experienced Customer Service Representative – East Coast Time Zone**

At arenaflex, we're dedicated to delivering exceptional healthcare experiences to our members, plan sponsors, and providers. As a Customer Service Representative, you'll play a vital role in building trusting relationships with our customers, understanding their needs, and delivering tailored solutions to enhance their healthcare journey. If you're passionate about providing top-notch customer service and have a knack for problem-solving, we want to hear from you! **About arenaflex** arenaflex is a leading healthcare company that's committed to improving the lives of our members and customers. With a strong focus on innovation, quality, and customer satisfaction, we're constantly striving to push the boundaries of what's possible in healthcare. Our team is made up of talented individuals who share a common goal: to make a meaningful difference in the lives of those we serve. **Responsibilities** As a Customer Service Representative at arenaflex, you'll be responsible for providing exceptional service to our members, plan sponsors, and providers through effective communication and problem-solving. Your key responsibilities will include: * Answering questions and resolving issues as a single point of contact based on phone calls from plan sponsors, members, and providers. * Building a trusting and caring relationship with members to fully understand their needs. * Anticipating customer needs and providing related information to answer unasked questions. * Using customer service threshold framework to make financial decisions to resolve member issues. * Educating and assisting customers on various elements of benefit plan information and available services. * Utilizing all relevant information to effectively influence member engagement. * Taking immediate action when confronted with a problem or situation. * Taking ownership of each customer contact to resolve issues and connect them with additional services. * Identifying member needs beyond the initial inquiry by answering unasked questions. * Resolving issues with limited management intervention. * Providing education to members to support them in managing their health. * Responding quickly to meet customer needs and resolve problems while avoiding over-committing. * Processing claim referrals, new claim hand-offs, and escalating issues as appropriate. * Initiating outreach/welcome calls to ensure expectations are met or exceeded. * Identifying trends and emerging customer service issues and developing solutions. * Partnering with other departments to deliver client-specific presentations. * Coordinating efforts internally and across departments to resolve service issues and develop process improvements. * Working collaboratively with colleagues to deliver the best customer experience. * Seeking to understand the customer, including circumstances, problems, expectations, and needs. * Asking probing questions to identify underlying customer needs. * Transitions conversations to explore possibilities for extending customer interactions. * Guiding members to appropriate health resources and offering alternatives where appropriate. * Acting with the best interest of the customer in mind during all interactions. * Serving as a subject matter expert providing technical assistance on call-related issues. * May participate in preparation and presentation of client-specific presentations. * May track and trend data, coach, train, and assist in the development of call center staff. * Participates in and/or leads special projects addressing service issues as necessary. * Delivers internal quality reviews and provides support in third-party audits. **Requirements** To be successful in this role, you'll need: * Customer service experience in a transaction-based environment such as a call center or retail location preferred. * Demonstrated ability to be empathetic and compassionate. * Effective organizational skills and ability to manage multiple tasks. * Effective communication skills, both verbal and written. * High School Diploma required. **Nice-to-haves** * Experience working in a healthcare or insurance environment. * Familiarity with customer relationship management (CRM) software. * Certification in customer service or a related field. **Benefits** As a valued member of the arenaflex team, you'll enjoy a comprehensive benefits package that includes: * Medical, dental, and vision benefits. * 401(k) retirement savings plan. * Employee Stock Purchase Plan. * Fully-paid term life insurance plan. * Short-term and long-term disability benefits. * Well-being programs. * Education assistance and free development courses. * CVS store discount and discount programs with participating partners. * Paid Time Off (PTO) and paid holidays. **What We Offer** At arenaflex, we're committed to providing a supportive and inclusive work environment that fosters growth and development. As a Customer Service Representative, you'll have the opportunity to: * Work from the comfort of your own home, with a flexible schedule that allows you to balance your work and personal life. * Collaborate with a talented team of professionals who share your passion for customer service and healthcare. * Develop your skills and knowledge through ongoing training and development opportunities. * Make a meaningful difference in the lives of our members and customers. * Enjoy a comprehensive benefits package that includes medical, dental, and vision benefits, as well as paid time off and holidays. **How to Apply** If you're passionate about providing exceptional customer service and have a knack for problem-solving, we want to hear from you! To apply for this exciting opportunity, please visit our website and submit your application. We can't wait to hear from you! Apply Job! Apply for this job