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Customer Care Representative – Farmers Service Operations (FSO)

Job Details

We are Farmers!

We are… more than just your favorite commercials.  At Farmers, we strive to deliver peace of mind to our customers by providing protection and comprehensive advice and delivering in the moments of truth. That means having people who can help us meet changing customer and business needs. Farmers high-performance culture is focused on results and the people who achieve them. We hold ourselves and others accountable for sustainably growing the business and each other. We seek solutions, own our actions, and grow through discomfort. We see setbacks as opportunities while continuously asking ourselves how we impact our customers.

Farmers is an award winning, equal opportunity employer, committed to the strength of an inclusive workforce. We are dedicated to supporting the well-being of our people through our extensive suite of benefits, as well as the well-being of the communities we serve through employee volunteer programs and nonprofit partnerships. Helping others in their time of need isn’t just our business – it’s our culture!  To learn more about our high-performance culture and open opportunities, check out www.Farmers.com/careers/corporate and be sure to follow us on Instagram, LinkedIn, and TikTok.

Workplace: Remote ( #LI-Remote )

The Position

If you are the kind of person who likes to solve problems and help others when they need it, you could be a perfect fit to grow your career with Farmers. This position is a critical part of Farmers Insurance as it supports our customers and agents. You will be the first point of contact for our customers, supporting inquiries and insurance policy needs by answering questions regarding coverage, rates, billing issues, and general policy reviews.  

We care about your professional development at Farmers, so we offer paid training with our renowned University of Farmers before you start serving customers, so you can succeed in this role! 

In this role you will:

  • Deliver exceptional customer service while proactively seeking solutions within compliance and legal requirements.
  • Communicate with customers and agents via multiple channels (phone, chats, emails) while navigating multiple systems and platforms.

The Day-to-Day

  • Receive and respond to inquiries related to insurance matters. Interact with customers, agents, and others to resolve moderately complex issues regarding policy provisions and conditions. Evaluate and interpret policy information within prescribed authority limits.
  • Access account information and communicate while working in multiple systems. Use account information, deep product knowledge, and knowledge of compliance or legal requirements to make appropriate recommendations or decisions. Document customer interactions and outcomes thoroughly in system.
  • Escalate unresolved issues requiring advanced support for further resolution.
  • Build knowledge and acumen through self-directed learning. Stay informed about underwriting and policy guidelines and other updates including compliance and legal requirements. Help maintain department knowledge resources to keep them current.
  • Actively listen to customer concerns to identify trends or patterns. Recognize opportunities for process improvement and makes recommendations to leadership.
  • Partner with various departments including Policy Support, Claims and Underwriting to respond to customer inquiries. May work with external vendors to further address customer needs.
  • Adhere to assigned, tightly regulated schedule and follow procedures for requesting time off.

The Details

  • Start Date (for non-licensed): Tuesday, January 13th or January 27th
  • Start Date (for licensed): Tuesday, February 10th or February 24th
  • Location: This position will be FULLY REMOTE.
    • You will need to provide a quiet, distraction-free environment and high-speed internet.
  • Training:
    • Training will last approximately 2-3 months through our award-winning University of Farmers.
    • Throughout this paid training, you’ll experience a blend of instructor led skills training, peer mentoring, and coaching in a live, real-world environment designed to ease you into live work with our agents and/or customers.
  • Working Hours During Training and After Training: Monday-Friday 9:30am – 6:00pm CST
  • Normal Working Hours: Monday-Friday 6:45am – 8:15pm CST; Saturday & Sunday 7:45am – 8:15pm CST

Compensation

  • Pay is $22.31/hour or $23.74/hour based solely on geographical location. 
  • Annual performance-based bonus potential up to 10%. Interested in earning more? We are a performance-based company where you could potentially more based on company and individual performance goals (ask your Recruiter for details)!
  • As a Customer Care Representative, you’ll enjoy our Total Rewards Program to help secure your financial future and preserve your health and well-being including: 401(K) Plan, Generous PTO, Tuition Reimbursement, Paid Training, and much more.

Education Requirements

  • High School Diploma or equivalent required.
  • Property and Casualty license will be required for this role. If you do not already have a license, Farmers will help you in getting the required license.
    • Paid Training = training materials & exam itself
    • Given 2 attempts to pass the exam (coorindated by Farmers)

Experience Requirements

  • Minimum of 1-3 years customer service.
    • 1 year of experience in call center environment or related field preferred.
    • Experience providing customer support within a high-volume, complex environment preferred.  
  • Strong technical aptitude:
    • Intermediate computer skills with ability to navigate multiple systems simultaneously.
    • Able to troubleshoot basic issues with equipment such as headset, internet, and connectivity.
    • Experience with Microsoft Office suite of tools preferred.

Physical Actions

This role, whether performed virtually or in an office setting, will include normal and customary distractions, noise, and interruptions. Sits or stands for extended periods of time, up to a full work shift. Occasionally reaches overhead and below the knees, including bending, twisting, pulling, and stooping. Occasionally moves, lifts, carries, and places objects and supplies weighing 0-10 pounds without assistance. Listens to, interprets, and differentiates auditory information (example others speaking) at normal speaking levels with or without correction. Visually verifies and reads information. Visually locates material, resources and other objects. Ability to continuously operate a computer for extended periods of time, up to a full work shift. Physical dexterity sufficient to use hands, arms, and shoulders repetitively to operate keyboard and other office equipment up to a full work shift.

Benefits

  • Farmers offers a competitive salary commensurate with experience, qualifications and location.
  • Bonus Opportunity (based on Company and Individual Performance)
  • 401(k)
  • Medical
  • Dental
  • Vision
  • Health Savings and Flexible Spending Accounts
  • Life Insurance
  • Paid Time Off
  • Paid Parental Leave
  • Tuition Assistance
  • For more information, review “What we offer” on https://www.farmers.com/careers/corporate/#offer

Job Location(s): US – TX, US – AR, US – AZ, US – IA, US – ID, US – KS, US – LA, US – MO, US – MS, US – MT, US – ND, US – NE, US – NM, US – OK, US – OR, US – SD, US – UT, US – WY

Anticipated application deadline: At Farmers, the recruitment process is designed to ensure that we find the best talent to join our team. As part of this process, we typically close open positions within 8 to 21 days after posting. If you are interested in any of our open positions, we encourage you to submit your application promptly.

Farmers will consider for employment all qualified applicants, including those with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring Ordinance or other applicable law.  Pursuant to 18 U.S.C. Section 1033, Farmers is prohibited from employing any individual who has been convicted of any criminal felony involving dishonesty or a breach of trust without prior written consent from the state Department of Insurance.

Farmers is an Equal Opportunity Employer and does not discriminate in any employer/employee relations based on race, color, religion, gender, sexual orientation, gender expression, genetic information, national origin, age, disability, marital status, military and veteran’s status, or any other basis protected by applicable discrimination laws.

Want to learn more about our culture & opportunities? Check out www.Farmers.com/careers/corporate and be sure to follow us on Instagram, LinkedIn, and TikTok.

APPLY HERE: Customer Care Representative – Farmers Service Operations (FSO)

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Medical Records Processing Specialist

Job Details

Salary Range:$15.00 To $16.00 Hourly
 

HealthMark Group is a leader in health information management and technology focusing on serving the health information management needs of physician practices and hospitals throughout the nation. HealthMark Group’s innovative technology and superior customer service enable clients to streamline operations by outsourcing administrative support functions such as the release of information and form completion processes. By integrating experience, technology, and service, we help hospitals, health systems and clinics concentrate on what they do best, patient care.

HealthMark Group is growing and looking for bright, energetic, and motivated candidates to join our team. This is an entry level position and an exciting opportunity for someone looking to start their career with a fast-growing company.

We are expanding rapidly and have created unique roles that need qualified candidates.

Entry level job duties include but not limited to:

  • Processing medical record requests
  • High volume and fast paced environment
  • Reports directly to the Processing Manager
  • Assist as needed in overflow processing due to high volume issues and/or coverage issues
  • Abide by HIPAA guidelines while ensuring the confidentiality of PHI
  • Maintain consistent schedule by processing all requests within 24-48 hours of receipt for assigned accounts
  • Provide feedback regarding request volume and perceived issues
  • Monitors incoming requests received through various means
  • General office duties

 

Qualities that the candidate for this position should include:

  • Fast learner
  • Dependable
  • Quick worker
  • Team player
  • Positive attitude
  • Someone who strives to do more

 

In accordance with our company policy, Full Time Employees are eligible for the following benefits:

  • Robust Health Insurance Plan Options with Company Coverage
  • Vision and Dental Plan Options
  • STD, LTD, Life and Life A&D
  • Competitive Paid Time Off including Paid Holidays
  • 401(k) Plan Offering with Employer Matching

 Note: This job description is intended to provide a general overview of the position and does not encompass all job-related responsibilities and requirements. The responsibilities and qualifications may be subject to change as the needs of the organization evolve.

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APPLY HERE: Medical Records Processing Specialist

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Remote Retention and Recovery Specialist 

Job Details

Are you passionate about making a difference in people’s lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

This position is responsible for interacting with clients and client representatives via phone, email and or mail to secure the return of company rental equipment. This includes receiving, investigating and responding to all customer inquiries regarding shipments, products and complaints.

This role…

  • Interacts with external and internal customers in a professional, helpful and courteous manner.

  • Manages incoming phone calls by responding to requests and assisting with inquiries.

  • Resolves problems by clarifying issues; researching and exploring answers and alternative solutions.

  • Implements solutions to issues and /or escalates unresolved issues.

  • Answers client questions using scripted and non-scripted responses.

  • Records details of calls and messages.

  • Maintains access to, and security of, highly sensitive materials.

  • Refers client complaints to appropriate parties.

  • Maintains protocol information supplied from reference materials, memos, and training sessions.

  • Places outbound calls to clients and client representatives to discuss returning company equipment.

  • Recognizes, documents, and alerts manager of trends in calls and communications received.

  • Maintains detailed files for documentation.

  • Updates customer files, as warranted.

  • Attempts to convert clients who lose coverage through government agencies/third parties to private pay clients and persuades clients to reconsider cancellation.

  • Identifies root causes and recommends process improvements in order to prevent future problems.

  • Maintains project productivity and quality goals.

  • Participate in other projects or duties as assigned.

We are interested in speaking to individuals with the following…

  • High School Diploma or GED required.

  • Zero (0) plus years of experience.

  • Or equivalent combination of education and/or experience.

  • Self-motivation and the ability to work independently and with teams.

  • Proficient in the use of Word, Excel, Outlook, and PowerPoint.

  • Excellent oral and written communication skills.

  • Proficient in managing multiple tasks as the same time.

  • Ability to work flexible hours and overtime when needed.

  • Bilingual – Spanish (Preferred).

Salary: Pay starting at $17/hourly

Schedule: M-F 8:30am – 5:00pm EST

Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received.  We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings. 

We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

  • Medical, Dental, and Vision insurance
  • Employer Paid Basic Life Insurance and AD&D
  • Voluntary Life Insurance (Employee/Spouse/Child)
  • Health Care and Dependent Care Flexible Spending Accounts
  • Pre-Tax and Post –Tax Commuter and Parking Benefits
  • 401(k) Retirement Savings Plan with Company Match
  • Paid Time Off
  • Paid Parental Leave
  • Short-Term and Long-Term Disability
  • Tuition Reimbursement
  • Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare is an Equal Opportunity Employer.

APPLY HERE: Remote Retention and Recovery Specialist

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COB Claims Specialist I

Job Details

The COB Claims Specialist I is responsible for accurately processing claims involving Coordination of Benefits (COB) to ensure proper payment and compliance with other insurance coverage rules. This entry-level position supports timely and efficient claims adjudication by applying COB rules. The specialist works closely with internal teams to resolve claim issues and contribute to overall operational effectiveness.

Our Investment in You:

·       Full-time remote work

·       Competitive salaries

·       Excellent benefits

Key Functions/Responsibilities:

  • Update and maintain member coverage records in claims systems and COB databases
  • Review and process Medicaid claims in accordance with COB protocols and applicable federal/state regulations.
  • Communicate with healthcare providers to resolve claims processing inquiries
  • Other duties as assigned

Supervision Exercised:

  • None

Supervision Received:

  • Close supervision received daily

Qualifications:  

Education Required:  

  • High School Diploma (or equivalent/ GED)

Education Preferred:

Experience Required:

  • Two (2) or more years of claims processing experience
  • Two (2) or more years of health insurance experience, with an understanding of industry terminology

Experience Preferred/Desirable:

  • Two (2) years of consecutive work experience
  • One (1) year of Cognizant Claims Processing (Facets, QNXT)

Required Licensure, Certification or Conditions of Employment:

  • None

Competencies, Skills, and Attributes:

  • Working knowledge of Microsoft Office products.
  • Demonstrated ability to navigate across various computer systems
  • Ability to relate and communicate positively, effectively, and professionally.
  • Basic oral and written communication skills, with the ability to clearly convey information and follow written instructions.
  • Basic knowledge of health insurance industry
  • Basic Understanding of health insurance COB rules, including Commercial, Medicaid, and Medicare guidelines
  • Ability to work independently and as a member of a team.
  • Detail oriented

Working Conditions and Physical Effort:

  • Ability to work OT during peak periods.
  • Regular and reliable attendance is an essential function of the position.
  • Work is normally performed in a typical interior/office work environment.
  • No or very limited physical effort required. No or very limited exposure to physical risk.

Compensation Range

$16.35 – $22.84

This range offers an estimate based on the minimum job qualifications.  However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer.  This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.  

Note: This range is based on Boston-area data, and is subject to modification based on geographic location. 

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees

APPLY HERE: COB Claims Specialist I

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