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We are looking for a Customer Experience Specialist to support members and customers. This contract position with potential for a permanent opportunity plays an important role in answering benefit and eligibility questions, resolving service concerns, and helping ensure claims-related information is handled accurately and efficiently. The ideal candidate brings strong communication skills, sound judgment, and a customer-first mindset in a fast-paced environment. Preference will be given to applicants currently residing in Hawaii due to the nature of the job requirements. To apply for this role, please call us at 808-531-0800.
Job Responsibility
Assist customers through inbound and outbound calls, email, written correspondence, and walk-in interactions while delivering timely, attentive support
Provide clear guidance on eligibility, benefits, and claim status, helping customers understand available coverage and next steps
Resolve service issues thoroughly by researching concerns, documenting outcomes, and following through until completion
Coordinate benefit information with other insurance carriers to support accurate coverage determination and claim handling
Enter claim-related data and support straightforward claim review and adjudication activities up to Level 2 as needed
Serve as backup support for claims processing functions during periods of high volume or team coverage needs
Complete routine administrative work, maintain organized records, and follow established documentation standards and procedures
Contribute to special assignments and additional operational tasks that support customer service and claims team objectives
Requirements
High school diploma or equivalent required
At least 1 year of experience in customer service, clerical support, sales, or a related role
Ability to answer phones and provide excellent customer service
Previous success in a high-volume call center or fast-paced service environment is preferred
Working knowledge of Microsoft Office and other basic office applications, including word processing and spreadsheets
Ability to manage multiple priorities with strong attention to detail and consistent accuracy
Strong verbal and written communication skills with the ability to interact effectively with customers, staff, and external partners
Experience handling sensitive information with professionalism and confidentiality while following applicable regulations