Join us for an exciting career with the leading provider of supplemental benefits!

Our Promise
Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

As a Customer Engagement Specialist your duties revolve entirely around providing empathy and compassion to Avesis’ Members, Customers, and Provider relationships. Responsibilities include, but are not limited to, developing and enhancing relationships, responding to inquiries, and investigating, analyzing, and resolving issues for our members. You will assist with eligibility verification, pre-authorizations, denials, along with claim status and payment amounts regarding their Dental, Vision, and ancillary benefits. This work will all be done using our internal Avesis resources and online portals. Customer Engagement Specialists will be responsible for providing world-class customer service and maintain complete and accurate documentation of all interactions. Our chosen candidates will demonstrate responsiveness and a sense of urgency while resolving customer concerns and inquiries and maintain a high level of productivity and service quality standards while continually supporting individual, team, and company goals and initiatives.

Essential Job Functions: 

• Answer 40-60 inbound calls, responding to inquiries ranging from routine to moderate complexity. 

• Capture member information accurately and update systems with complete and concise data. 

• Ensure flexibility, stay organized, and comply with constantly changing programs and business rules. 

• Investigate issues that cannot be resolved at the time of initial call.  Collaborate with internal teams to research and follow up with the Member until a resolution occurs. 

• Comfortable working in the healthcare field, with an acute awareness for privacy, confidentiality, HIPAA requirements and professionalism. 

• Ability to determine proper issue escalation - joining forces with other internal departments for answers, therefore closing the loop and providing a solution for the Member. 

Minimum Requirements:  

• High School Diploma or equivalent required. 

• 2+ years of experience in a healthcare customer service role.

• 1+ year of experience in a high-volume call center.

• Ability to work 40 hours/week, Monday - Friday, with availability between 7:00 a.m. and 6:00 p.m. Pacific Time is required. 

• Proficient computer skills including Microsoft Word, Excel, Outlook required.  

• Capacity to work unencumbered and independently in a home office/virtual environment. 

• Internet connection must be through a cable broadband or fiber optic internet service provider with speeds of at least 50 Mbps download/10 Mbps upload required. 

• Proficiency to navigate multiple computer software/systems and multi-screen functionality with ease.  

• Demonstrated sensitivity, empathy, and compassion with Member callers. 

• Able to maintain confidentiality and adhere to HIPAA requirements. 

• Excell