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Call Center Agent – Healthcare – Remote US

Job Details

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

 

Summary

The Healthcare Call Center Agent is responsible for providing exceptional customer service to members, providers, and other stakeholders by handling inbound and outbound calls. This role involves researching claims, verifying insurance, resolving inquiries, and ensuring compliance with healthcare regulations. The ideal candidate is empathetic, detail-oriented, and committed to delivering a positive patient experience.

Your role in our mission

  • Answer incoming calls promptly and professionally, addressing member inquiries, and make outbound calls as needed. Ability to remain calm and professional in high pressure situations.
  • Accurately document all interactions in the system, ensuring records are updated and complete.
  • Maintain confidentiality and comply with HIPAA and other healthcare regulations.
  • Escalate complex issues to supervisors or appropriate departments when necessary.
  • Meet or exceed performance metrics including call quality, handle time, and customer satisfaction.

What we’re looking for

  • High school diploma or equivalent required; associate degree or healthcare certification preferred.
  • 1+ year of experience in a call center or customer service role, preferably in a healthcare setting.
  • Strong communication and active listening skills, ability to speak, read and write proficient English.  Bilingual is a plus.
  • Ability to multitask and navigate multiple systems simultaneously and proficiency in Microsoft office and call center software.
  • Familiarity with medical terminology and insurance processes is a plus.

What you should expect in this role

  • Position is 100% remote

 

#LI-REMOTE

 

 

The pay range for this position is $35,000 – $50,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

 

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

 

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. 

APPLY HERE: Call Center Agent – Healthcare – Remote US

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Claims Representative

Job Details

Join an amazing team that is consistently recognized for our achievements and culture, including our most recent Forbes award of being one of America’s Best Midsize Employers for 2025!

An in-person interview may be required during the hiring process.

Our next class start date is January 12, 2026 and consists of 8 weeks of paid training.

 

If you’re passionate about helping people restore their lives when the unexpected happens, and providing the  best customer experience, then our Mercury Insurance Claims team could be the place for you! We offer dynamic and challenging opportunities to those who want to make a meaningful impact. 

 

Under general supervision, the Claims Representative is responsible for investigating and resolving auto physical damage and property damage claims in a timely and efficient manner, while providing exceptional customer service in a team environment. The Claims Representative will handle a high volume of calls and make regular contact with customers on multiple platforms, collaborating cohesively with other team members to achieve department goals.

 

At Mercury, we believe in nurturing growth, making time to have fun, and working together to make great things happen. 

. 

 

Geo-Salary Information

State specific pay scales for this role are as follows:

 

$22.11 (CA, NJ, NY, WA, HI, AK, MD, CT, RI, MA)

$20.19 (NV, OR, AZ, CO, WY, TX, ND, MN, MO, IL, WI, FL, GA, MI, OH, VA, PA, DE, VT, NH, ME)

$18.26 (UT, ID, MT, NM, SD, NE, KS, OK, IA, AR, LA, MS, AL, TN, KY, IN, SC, NC, WV)

 

The expected base salary for this position will vary depending on a number of factors, including relevant experience, skills and location.

Responsibilities

Essential Job Functions:

 

• Thoroughly verifies and explains coverage to Policyholders, setting clear expectations on the claims process.  

• Sets reserves for anticipated losses, arranges vehicle inspections and rental authorizations, and makes referrals to specialty teams as warranted. 

• Serves as the primary customer contact and coordinates with other departments; researches and timely responds to customer inquiries and/or concerns with empathy to ensure customer satisfaction and retention. 

• Demonstrates the ability to resolve claims in a timely and accurate manner.

• Continuously monitors progress and exposures, issues accurate and timely payments.

• Investigates and evaluates claims by conducting interviews, reviewing documentation, and gathering evidence. 

• Documents interactions, conversations, and activities related to claims in a clear and concise manner using company systems and tools.

• Identifies and escalates files with more significant indemnity exposure or attorney representation to their supervisor for review, transfer, or further investigation. 

Qualifications

Minimum:

• High School Diploma or GED.

 

Preferred:

• Associate degree.

• You may be required to obtain a Company sponsored Adjuster’s license to handle claims, to be secured upon hire.

 

Experience:

 

Minimum:

• Customer service experience required.

 

Preferred: 

• 6-12 months of related experience.

• Experience with handling high call volume in a professional call center.

 

Skills & Abilities:

 

Minimum: 

• Solid comprehension of basic principles and practices of Company policies upon completion of a formal and informal training program. 

• Ability to multi-task in a fast-paced environment, prioritize responsibilities, and deliver accurate work-product to expedite claims resolution and manage a high volume of claims. 

• Has a passion for serving customers in their time of need. 

• Possesses effective written and verbal communication skills to professionally represent the Company in multi-channel correspondence with Policyholders, agents, claimants, and other insurance carriers. 

• Independently makes high-quality claims adjusting decisions. 

• Collaborates well with others. We are one team with a common goal. 

• Ability to build rapport utilizing emotional intelligence. 

• Views conflict resolution as an opportunity. 

• Has self-motivation and accountability while working remotely. 

• Demonstrated proficiency with MS Office products (Outlook, Word) and claims related software. 

• Must have dedicated workspace that is free from distractions. 

 

Preferred:

• Demonstrates intellectual curiosity by seeking out efficiencies through process improvement or technology. 

• Takes ownership of any process they can improve.

• Assumes positive intent in all interactions.

• Seeks growth within and beyond this role. 

About the Company

Why choose a career at Mercury?

 

At Mercury, we have been guided by our purpose to help people reduce risk and overcome unexpected events for more than 60 years. We are one team with a common goal to help others. Everyone needs insurance and we can’t imagine a world without it.

 

Our team will encourage you to grow, make time to have fun, and work together to make great things happen. We embrace the strengths and values of each team member. We believe in having diverse perspectives where everyone is included, to serve customers from all walks of life.

 

We care about our people, and we mean it. We reward our talented professionals with a competitive salary, bonus potential, and a variety of benefits to help our team members reach their health, retirement, and professional goals.

 

Learn more about us here: https://www.mercuryinsurance.com/about/careers

Perks and Benefits

We offer many great benefits, including:

  • Competitive compensation
  • Flexibility to work from anywhere in the United States for most positions
  • Paid time off (vacation time, sick time, 9 paid Company holidays, volunteer hours)
  • Incentive bonus programs (potential for holiday bonus, referral bonus, and performance-based bonus)
  • Medical, dental, vision, life, and pet insurance
  • 401 (k) retirement savings plan with company match
  • Engaging work environment
  • Promotional opportunities
  • Education assistance
  • Professional and personal development opportunities
  • Company recognition program
  • Health and wellbeing resources, including free mental wellbeing therapy/coaching sessions, child and eldercare resources, and more

Mercury Insurance is an equal opportunity employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by federal, state, or local law.

Pay Range

USD $31,574.00 – USD $55,318.00 /Yr.

APPLY HERE: Claims Representative

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Customer Care Associate II – Remote

Job Details

Customer Care Agent- Starting pay rate is $18.00 per hour ($37,440) with a 3% annual bonus target.

 

Do you want to be part of a collaborative Customer Response team?

 

In this role you will be responsible to facilitate, analyze and resolve customer issues through a variety of

communication channels, including phone, email and chat. You will service a suite of absence products such as short-term disability, state disability, state paid family leave and Family Medical Leave Act. You will be initiating new absences for members as well as answering questions about current benefits and claims.

 

At Guardian we foster a team culture where ‘People Count,” “We Do the Right Thing,” and “We Hold Ourselves to Very High Standards”. If this sounds like you, Guardian is seeking a Customer Care Representative to join our Member/Provider.

Customer Response Unit.

 

You are:

A consummate professional with excellent verbal and written communication skills.  You are self-motivated and goal orientated, and you thrive in a fast-paced environment where best in class customer service is your standard. You’re patient, empathetic, detail orientated, and work well independently in a team

setting. You are a tech savvy problem solver that can treat customers with compassion and care.

 

Qualifications

 

You have:

  • High School Diploma.
  • Associate Degree or bachelor’s degree preferred.
  • Experience in a service-related industry.
  • Minimum internet speed of 50/25 Mbps
  • Private and secure workspace free from interruptions
  • Phone skills, including familiarity with complex or multi-line phone systems
  • Strong time management and organizational skills
  • Great active listening skills
  • Exceptional interpersonal and rapport building skills

 

You will:

  • Serve as a company ambassador by delivering exceptional customer service in the contact center.
  • Collaborate across teams to solve customer issues and provide product support.
  • Build relationships with the Guardian members and providers by ensuring their needs are fulfilled in a timely and satisfactory fashion.
  • Contribute in an ever-evolving work environment, where everyone’s ideas matter.
  • Take customer calls and provide accurate, satisfactory answers to their queries and concerns
  • De-escalate situations involving dissatisfied customers, offering patient assistance and support
  • Develop in-depth knowledge of a company’s products and/or services 

 

Salary Range:

 

$30,960.00 – $46,440.00

 

The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.

 

Our Promise

 

At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals.  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.

 

Inspire Well-Being

 

As part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at www.guardianlife.com/careers/corporate/benefits. Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.

 

Equal Employment Opportunity

 

Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

 

Accommodations

 

Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual’s known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact applicant_accommodation@glic.com.

 

Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.

APPLY HERE: Customer Care Associate II – Remote

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Customer Engagement Specialist – Employee Benefits

Job Details

 

At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship.  We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together.  Come be a part of this journey with us as we champion lives!

Our Opportunity:

Our Customer Engagement Associates are the heart of OneAmerica Financial, providing customers with information about their life or disability benefits, claim filing, status of an active claim, and payment information. We are looking for highly motivated individuals who have a passion for providing excellent customer engagement. You’ll start learning our business from day one and be entrusted to serve as the voice of OneAmerica Financial to our patrons, business partners and operations.

The successful Customer Engagement Associate displays a strong level of emotional intelligence, can work well under pressure, and has already mastered strong professional and technical skills.

What You’ll Do:

  • Bring a ‘customer comes first’ mentality every day!
  • Receive inbound calls to assist our customers with their benefits questions and concerns, assisting them in increasing their financial confidence in their benefit plan
  • Work well within a fast-paced environment, with the ability to multi-task effectively.
  • Maintain a sense of ownership and be a self-starter and have a strong attention to detail
  • Create and maintain respectful relationships with peers

Why you’ll love working here and what we can offer you:

  • Competitive benefits package, including a performance incentive bonus
  • Insurance eligibility first of month after 25 days of employment
  • 401(k) Plan with strong company match AND pension plan – 100% vesting after 5 years
  • Employee Referral Bonuses – $250+ depending on the position level
  • Personal and leadership development programs with rapid career growth opportunities
  • Ability to work from home. We provide thorough paid training and all equipment to work virtually.
  • Monday through Friday work schedule 

What You’ll Need:

  • High-speed internet connection with the space to work remotely.
  • High School Diploma or equivalent required. Associates degree preferred.
  • Experience working in a customer focused environment
  • Prior experience working in a high-volume call center environment preferred
  • Proven ability to work in a fast-paced, high-volume customer engagement environment and meet deadlines
  • Strong communication and customer service skills
  • Demonstrated technical and analytic skills
  • Possess a desire to work in a team environment
  • Demonstrated ability to be detail-oriented, organized, a self-starter and handle multiple tasks
  • Must be able to work scheduled hours (between the hours of 8:00 AM through 6:00 PM EST).

Salary Band: 02A

This selected candidate will be expected to work fully remote. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team-building and collaboration.

If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York. 

Disclaimer:  OneAmerica Financial is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individual’s race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law.

For all positions:

Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered.

To learn more about our products, services, and the companies of OneAmerica Financial, visit oneamerica.com/companies.

 

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

APPLY HERE: Customer Engagement Specialist – Employee Benefits

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Insurance Claims Customer Support Advisor – Work From Home – US

Job Details

Location: United States, Work at home

Job category: Customer Service Representative (CSR)

Language: English

Do you love helping people and sharing your knowledge?

Do you want to grow your career with a company that rewards your hard work?

Do you want to improve your work / life balance and work from the comfort of your home?

What’s in it for YOU!

  • $17.50 USD per hour
  • Pay options to meet your needs: Daily Pay, Bi-Weekly Pay, Direct Deposit, and Pay Cards
  • Health Benefits for you and your family, including: medical, dental, vision
  • 401(k) Investment options with employer match opportunities
  • Paid Vacation Time
  • Computer Equipment Provided
  • 100% REMOTE – Work-at-Home, including training
  • Great Work/Life Balance while developing your career
  • Position as a Transcom employee (not an independent contractor)
  • Ability to develop your skills and grow your career
  • An opportunity to work for a company passionate about people 

Join our Transcom Family as a Insurance Claims Customer Support Advisor!

You’ll be the friendly voice of our healthcare client to support their customers with processing claims, explaining why someone might be denied, provide refund statuses, guiding patients on how to submit claims, and checking reimbursement requests.

 

What we are looking for:

We’ve got an exciting career opportunity for you, if you can:

  • Effortlessly engage with callers, actively listen, and provide solutions
  • Comfortably navigate multiple applications to research solutions
  • Multitask in systems while patiently providing step-by-step instructions with a focus on accuracy and timeliness
  • Calmly provide conflict resolution and navigate frustrated customer situations with an aptitude for service-orientation and social perceptiveness
  • Work independently with discipline and motivation to succeed in a virtual environment where you work remotely with coworkers and supervisors from the comfort of your home.
  • Work in a highly structured environment with strict adherence to your assigned full-time schedule taking high-volume inbound calls from customers.
  • Work at a desk and wear an approved headset for the duration of a full-time schedule in order to talk to customers in a high-volume, fast-paced, and sometimes stressful environment

Requirements

The following items are mandatory pre-employment requirements and/or skills that are required to be successful in this role. The skills listed are skills that must be used daily and for a prolonged period of time, up to the full duration of your scheduled shift.

  • At least 18 years or older
  • High School Diploma, or equivalent
  • Able to successfully pass a criminal background check
  • Able to work a full-time work week of 32-40 hours, with overtime opportunities as needed
  • Able to maintain 100% strict adherence to the assigned schedule
  • Able to work a variety of shifts influenced by current business needs (including evenings, weekends, and holidays)
  • Able to work full-time hours, with reliable attendance, as outlined in the assigned schedule
  • Strong computer knowledge, including ability to accurately type at least 30 wpm
  • Excellent English written and verbal communication skills
  • Courteous and friendly with high level of professionalism
  • Willingness to follow procedures and adhere to policies
  • Able to communicate information and ideas so others will understand and able to exchange accurate information in these situations
  • Able to multitask applications while talking to customers on the phone
  • Able to thrive in a fast-paced, time-pressured, dynamic work environment taking back-to-back calls
  • Able to actively listen to customer needs and demonstrate empathy – this includes having problem sensitivity – solve customer problems and be sensitive to others while you do it
  • Highly adept at working with a high frequency of conflict situations, as well as upset customers
  • Ability to work in an environment where you must sit, reach, communicate (verbally and electronically), type, read, multi-task, and concentrate in a prolonged setting.
  • Able to use your hands to handle, control, or feel objects, tools, or controls
  • Experience with insurance claims or prescription background, preferred
  • Previous call center and/or work from home experience, required

Location Requirements

Must live and work in one of the following states:

AL, AR, FL, GA, ID, IN, IA, KS, KY, LA, MO, MS, NE, NH, NC, ND, OH, OK, *SC, SD, TN, TX, UT, VA, WI, WV

*We have a site in Greenville, South Carolina. We cannot accept remote applicants within 30 miles of the Greenville site.

Work at Home Requirements:

  • Transcom provides you an all-in-one computer, monitor, and headset for this position. The computer contains a built-in webcam that is required to be used for training and meetings. 
  • You must have a secure, quiet, distraction-free work environment without any conflicting responsibilities during your scheduled work shift, including caring for a family member.
  • Your home office must be a private room with a door and cannot be a shared office space.
  • Your monitor cannot face a window, if the office is on the ground floor.
  • Your home office must have a DSL, Fiber, or Cable Internet that is hardwired into a modem/router via Ethernet. 
  • (Dial up, Wireless, Mobile Hotspot, or Satellite internet service cannot be used)
  • Your hardwired internet connection must meet the minimum speed requirements: 
  • Minimum download speed 20 Mbps
  • Minimum upload speed 3 Mbps
  • Ping less than 100 ms or less

Although the computer is provided if you are hired, you will need a home desktop or laptop computer that is hardwired using an Ethernet connection to complete the typing and internet speed assessments during the application. This is a requirement to be considered for this employment opportunity. 

What Life at Transcom is like!

Transcom is a global customer experience specialist, providing customer care, sales, technical support and credit management services through our extensive network of contact centers and work-at-home agents. We are 30,000+ customer experience specialists at over 90 contact centers across 28 countries, delivering services in 33 languages to international brands in various industry verticals.

Right now, we are growing our virtual footprint in North America and currently hire remote employees in 26 states and 3 Canadian provinces. Proud to be recognized by FlexJobs as #8 on their list of the Top 100 companies to watch for remote work in 2025.

At Transcom, we’re relentlessly committed. To our clients and each other. Every day, someone starts their journey with Transcom. Taking the potential they have today, and turning it into skills for the future. Getting recognized for working hard, being a team player, and supporting others. Championing positive, lasting change in their teams and communities. That’s just how we are at Transcom. Here we care, and root for each other. You’re included, just as you are, from day one. And with the right mindset, there’s no end to how far we can go together. 

We are the voice of our clients. We are Transcom. 

We are passionate about people and look forward to meeting you!

 

APPLY HERE: Insurance Claims Customer Support Advisor – Work From Home – US

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