Job Description
Job Summary As a Licensed Benefits Representative, you'll handle inbound customer calls related to employee benefit plans, voluntary benefits, claims, and general coverage inquiries. This is a remote role supporting the Voluntary Benefits (VB) and core benefits teams.
Responsibilities / Job Duties - Respond to incoming calls from clients, members, providers, and employer groups.
- Assist with benefit plan details, claim statuses, coverage questions, and pre-certification information.
- Follow established scripts for Voluntary Benefits (VB) calls.
- Document interactions in systems like Flex, Alegis, Luminis, and internal ticketing tools.
- Maintain compliance with CMS and carrier regulations.
- Meet KPIs including average handle time and call quality.
Education Qualifications - No minimum years of experience required.
- Strong soft skills - Ability to stay calm and courteous in challenging calls.
- Previous customer service or call center experience is a plus.
- Ability to navigate multiple systems and retain technical details.
- Excellent verbal and written communication skills.
- Comfortable working with diverse customers and team members.
Schedule / Shift - Training: 1 week of paid VB training (approx. 25 hours). More advanced training added as capacity allows.
- Training Hours: 8:30 AM - 5:00 PM CST
- Post-Training Hours: Core staffing hours are 8:30 AM - 5:00 PM CST, flexibility needed until 6:00 PM CST
Benefits - Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
Job Tags
Temporary work, Local area, Remote work, Flexible hours, Shift work,