Job Description

Customer Service Representative II (Remote)

Remote - FL, IL, IN and WI

AMA Insurance (AMAI) offers life, health and disability insurance at affordable and exclusive rates to help doctors achieve a healthy and secure financial future. AMAI is part of the American Medical Association (AMA), a nonprofit, and the nation's largest professional Association of physicians. We are a unifying voice and powerful ally for America's physicians, the patients they care for, and the promise of a healthier nationTo be part of the AMA is to be part of our Mission to promote the art and science of medicine and the betterment of public health.

At AMA, our mission to improve the health of the nation starts with our people. We foster an inclusive, people-first culture where every employee is empowered to perform at their best. Together, we advance meaningful change in health care and the communities we serve. We encourage and support professional development for our employees, and we are dedicated to social responsibility. We invite you to learn more about us and we look forward to getting to know you.

We have an opportunity for a remote Customer Service Representative II our AMA Insurance team. This role supports customer experience goals and meets or exceeds
expectations for routine and specialized sales, claims, and service support
for AMA physician and Third Party Administration (TPA) business
lines. Responds to inbound and written correspondence for
all insurance products offered by AMA Insurance, and TPA Business
lines in a manner that will retain current certificate
holders, increase our customer base and promote AMA membership.
Engages callers to build and maintain a strong
reputation and forge a lasting relationship. Achieves exceptional
results for our customers and colleagues.

RESPONSIBILITIES:

Customer Support & Issue Resolution

• Answer all inbound calls in accordance with Department standards and monitoring guidelines.
• Provide information regarding benefits, eligibility, plan provisions, premium billing, customer conservation, cross selling and upselling for all insurance plans.
• Identify and escalate priority or problem issues. Follow up on customer calls when necessary. Create opportunities to transfer callers to partners for telesales opportunities.
• Respond to all correspondence within department standards for quality, productivity and timeliness.
• Meet or exceed production standards by processing changes to our Administration System, including personal and coverage information and send confirmation documents to the caller when needed.
• Handle integrated sales, claims, and service interactions across AMAI insurance plans.
• Answer and resolve inquiries regarding technical details including benefits, eligibility, plan provisions, premium billing, and certificate changes.
• Demonstrate strong problem-solving skills when resolving complex or escalated customer issues.

Operations & Special Projects

• Support business operations through participation in special projects as assigned by the Customer Service Supervisor.
• Contribute to process improvements and operational efficiencies.
• Assist in documenting workflows and service processes to support consistency and quality

May include other responsibilities as assigned

REQUIREMENTS:

1. High school diploma or equivalent education required.
2. Minimum of 2+ years’ experience in life or health insurance required.
3. Health or Life insurance license preferred.
4. Demonstrated experience working in a high-volume customer service call center.
5. Excellent telephone skills including proper telephone technique, multitasking skills, and ability to control the call.
6. In-depth understanding of customer service and premium billing transactions required.
7. Demonstrated experience handling customer issues, including technical and financial related issues.
8. Strong knowledge of insurance products, benefits administration, or third-party administration services preferred. Health insurance knowledge preferred.
9. Excellent verbal and written communication skills with a high level of professionalism.
10. High level proficiency with call center systems, telephony platforms, and personal computers.
11. Advanced proficiency in Microsoft Office Suite (Word, Excel, Access, PowerPoint) and database systems.
12. Ability to provide technical support for online tools, systems, and customer-facing platforms.
13. Strong business process skills, including the ability to document, monitor, and improve workflows.
14. Excellent planning, organization, and time management skills with the ability to manage multiple priorities in a fast-paced environment.

This role is a non-exempt position and the hourly range for this position is $23.63 - $30.83. This is the lowest to highest rate we believe we would pay for this role at the time of this posting. An employee’s pay within the salary range will be determined by a variety of factors including but not limited to business consideration, geographical location, as well as candidate qualifications, such as skills, education, and experience. Employees are also eligible to participate in an incentive plan. To learn more about the American Medical Association’s benefits offerings, please click here.

We are an equal opportunity employer, committed to diversity in our workforce. All qualified applicants will receive consideration for employment. As an EOE/AA employer, the American Medical Association will not discriminate in its employment practices due to an applicant’s race, color, religion, sex, age, national origin, sexual orientation, gender identity and veteran or disability status.

THE AMA IS COMMITTED TO IMPROVING THE HEALTH OF THE NATION