Health Insurance Customer Service Representative

Carroll Enterprises, Inc.
November 28, 2019
Worcester, MA
Job Type


Carroll Enterprises, Inc. and SterlingBridge are committed to innovation, integration, and technological investment in insurance and financial services. Our entrepreneurial spirit allows us to continually adapt and leverage technology to provide marketing, distribution, and support solutions-in both the business-to-business and the business-to-consumer markets. Our clients and customers have access to a broad range of wholesale insurance products, managed by experienced, licensed employees in a "one-stop shop" environment.
Health Insurance Customer Service Representative
Provide service and enrollment for members/customers and new business in both private and public sector health care solutions. Under the direction of the supervisor, provide ongoing service to members and prospects. Through servicing and enrollment, develop a thorough knowledge of the member's account and become a liaison between the customer, other business units, vendors and the carriers (as appropriate). Resolve daily membership problems, claims, complaints and inquiries as appropriate and identify a sale and conversation of sales opportunities, when appropriate.

  • Ability to achieve quality service while achieving retention and new sales quotas required.
  • Proficiency with Microsoft Office Suite and call center technology
  • Must be able to navigate through several databases/applications concurrently
  • Retain a positive working relationship with clients, providers, members and internal staff
  • Deliver on first contact resolution through customer collaboration and excellence in service
  • Excellent organization, presentation, and written and verbal communication skills
  • Ability to effectively analyze and calculate risks and rates
  • Solid de-escalation and problem-solving skills
  • Ability to obtain resident state insurance licensing is desired PM17

Health Insurance Customer Service Representative


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