Deliver exceptional member support via phone, chat, and email
Educate members on their healthcare benefits, including how to maximize their Garner benefit
Handle complex and sensitive conversations with professionalism, empathy, and patience
Garner Health is reshaping the healthcare economy to ensure everyone can afford high quality care. With rapid adoption in the market, they have more than doubled their revenue annually over the last 5 years, becoming the fastest growing company in their space. Garner's award winning culture cultivates teamwork, trust, autonomy, exceptional results, and individual growth.
Initiate claims and provide exceptional customer service.
Promote digital self-service capabilities and document claim information.
Take ownership to service caller's needs and build The Hartford brand.
The Hartford is an insurance company that goes beyond coverages and policies. They provide opportunities to achieve goals and help others, shaping the future together.
Communicate with our members via phone and email, exhibiting care in every interaction
Listen to our members, providing empathy and solutions to their unique needs
Accurately document Member interactions and activity
Achieve is a digital personal finance company helping people move from struggling to thriving by providing innovative, personalized financial solutions. They leverage data and analytics to tailor solutions for each step of their member's financial journey.
Responds to phone, email, and chat customer inquiries and moves between different functions as needed.
Triages and assesses inquiry root cause to determine effective resolution and utilizes multiple systems to provide timely and accurate resolution.
Achieves strong customer satisfaction by providing a positive Customer Experience and works collaboratively with back-office areas to correct customer issues.
Guardian helps customers realize their dreams through insurance and financial products, focusing on their overall well-being. As one of the largest mutual insurance companies, Guardian puts customers first and has 29 million customers.
Independently resolve a broad range of member inquiries across Maven Managed Benefits, fertility programs, and Maven Wallet workflows.
Interpret and clearly explain benefits design, eligibility, and coverage to members, identifying edge cases and ensuring alignment with plan rules.
Manage end-to-end reimbursement and payment workflows, including reviewing documentation, identifying discrepancies, guiding members on next steps.
Maven Clinic is the world's largest virtual clinic for women and families on a mission to make healthcare work for all. More than 2,000 employers and health plans trust Maven's end-to-end platform to improve clinical outcomes, reduce healthcare costs, and provide equity in benefits programs. Maven Clinic is a recipient of over 30 workplace and innovation awards.
Deals directly with internal and external customers via telephone and electronic channels to obtain missing information needed for processing of submitted test samples based on assigned region.
Communicate test status per protocol to respective customers, resend and/or request the resending of issued test results and Schedule requests for mobile phlebotomy.
Respond promptly to internal and external customer inquiries and complaints regarding missing and delayed test samples, results reports, and other relevant inquiries.
Natera is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other.
Serving as the first point of contact for members and providers.
Navigating multiple systems and balancing several interactions at once.
Documenting thoroughly, taking ownership of issues, and following through until every customer feels heard and supported.
Guidehealth is a data-powered healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment for providers. Driven by empathy and powered by AI, Guidehealth leverages remotely-embedded Healthguides and a Managed Service Organization.
Manages client denials and concerns through analytic review of clinical documentation.
Delivers final determination based on skillsets and partnerships with Humana parties.
Investigates and resolves member and practitioner issues via phone or face to face to support quality goals.
Humana Inc. is committed to putting health first for teammates, customers, and the company. Through Humana insurance services and CenterWell healthcare services, they strive to make it easier for millions to achieve their best health, delivering needed care and service.
Handle inbound calls and chat boxes from members regarding Sidecar Health’s products and services.
Provide excellent customer service in a timely and positive manner.
Build rapport and maintain positive relationships with existing members to understand their needs.
Sidecar Health is redefining health insurance with a mission to make excellent healthcare affordable and accessible. They are made of passionate people from various backgrounds and are driven to fix a broken system.
Thoroughly verifies and explains coverage to Policyholders, setting clear expectations on the claims process.
Sets reserves for anticipated losses, arranges vehicle inspections and rental authorizations, and makes referrals to specialty teams as warranted.
Serves as the primary customer contact and coordinates with other departments to ensure customer satisfaction and retention.
Mercury Insurance has been dedicated to helping people reduce risk and overcome unexpected events for over 60 years. They are one team encouraging growth, fun, and collaboration with diverse perspectives to serve customers from all walks of life.
Support clinical staff by gathering data to complete the medical necessity review process.
Create and send letters to providers and/or members to communicate information.
Collaborate with care management teams and stakeholders to provide optimal service.
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, and they’ve built their reputation on over 80 years’ worth of trust. They are motivated by the well-being of their members, putting them first and committing to sustainability and innovation.
Investigates new claims by reviewing first reports of loss and supporting materials.
Establishes action plans based on case facts, best practices, protocols, jurisdictional issues and available resources.
Manages an inventory of property/casualty and disability claims, evaluates compensability/liability and losses, and negotiates settlements within prescribed limits.
Liberty Mutual strives to create a workplace where everyone feels valued and supported. They build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of their culture.
Be a first point of contact and deliver exemplary service to our members and providers through multiple channels including phone, email and live chat
Support members in account set up, enrollment, pharmacy coordination, and booking appointments with providers
Provide first-line technical support and escalate technical and member experience issues following standardized operating procedures
Maven Clinic is the world's largest virtual clinic for women and families, aiming to make healthcare accessible for everyone. They provide clinical, emotional, and financial support via their digital platform, serving over 2,000 employers and health plans; they have a flexible and inclusive work environment and have received over 30 workplace and innovation awards.
Act as the primary point of contact for new patients calling and emailing in.
Efficiently register and onboard a high volume of new patients.
Precisely verify patient insurance information to confirm active coverage and eligibility.
Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team that values its employees.
Oversee teams of Claims Analysts and ensure high standards of quality and service are met.
Guide team members through complex claims processing and customer service inquiries.
Foster team development and drive improvements within the department.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. The system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Establishes a connection with customers to gather and capture information, to file a first notice of loss claim
Provides an overview of the basic claims process and information of a general nature to customers.
Receives, screens, and routes incoming telephone calls and other electronic correspondence.
Integon is a division in Mexico of one of the largest insurance companies in the United States of America. They provide support to its insurance company affiliates, offering property and casualty insurance products and have been certified as a Great Place To Work since 2019.
Serve as the first point of contact for members, providing friendly, professional, and compassionate support.
Support members with scheduling, rescheduling, or canceling Papa visits based on their unique needs and preferences.
Clearly explain Papa’s services and guide members toward making the most of their benefits.
Papa is a company with a people-first culture. They have an incredible team of hard-working people and they encourage everyone to bring their whole authentic selves to work to be transparent and non-hierarchical.
Analyze workers compensation claims to determine benefits due.
Ensure ongoing adjudication of claims within service expectations and best practices.
Negotiate settlement of claims within designated authority.
Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.
Showcase customer service and data entry skills as part of the healthcare team.
Involved in claims adjudication and/or provider credentialing.
Support customers by phone, email and chat.
Sutherland helps customers globally achieve greater agility and transform automated customer experiences. As a digital transformation company they have been in business for over 35 years and are Great Place to Work certified with nearly 40,000 employees.