Customer Service Representative, Employee Benefits

CRC Insurance Services

. Provide quality information and accurate solutions for defined customer issues by telephone and email .

Posted 9/22/2026full-timeLivingston • New Jersey • United StatesJuniorMid-Level💰 $50,000 - $55,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in customer service within the healthcare and insurance sectors, with strong knowledge of medical terminology and benefit administration systems. Proficient in managing customer inquiries and escalations while maintaining confidentiality and compliance with HIPAA regulations.

Highest-signal resume keywords

Customer Service ExperienceKnowledge of Medical TerminologyBenefit Administration SystemsHIPAA ComplianceMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Customer ServiceBenefit AdministrationMedical TerminologyAccount ManagementExplanation of Benefits (EOB) Interpretation

Soft Skills

Effective CommunicationTeam CollaborationTime ManagementProblem SolvingConfidentiality

Tools & Technologies

EaseMicrosoft ExcelMicrosoft WordMicrosoft OutlookMicrosoft TeamsInternet ExplorerGoogle Chrome

Industry Keywords

HealthcareInsuranceCall CenterCustomer SatisfactionEscalation Management

About the role

Key responsibilities & impact

Provide quality information and accurate solutions for defined customer issues by telephone and email
Maintain 100% of available phone time and/or electronic service goals according to current standards
Support the team as a first-line resource for Customer Service Representative questions
Serve as the first point of contact for escalated calls
Determine when customer issues require further escalation and use appropriate channels for timely resolution
Provide customer service for employee enrollment changes, ID card status, and effective-date inquiries
Communicate with broker partners regarding requests processed through carrier portals or Benefit Administration systems
Monitor and process Customer Service requests and requests submitted through Benefit Administration systems
Keep current on company policies and promotional offerings
Participate in regular team meetings and contribute to customer-satisfaction goals
Participate in assigned projects as a Customer Service subject matter expert

Requirements

What you’ll need

High School diploma or equivalent
Minimum of two (2) years’ experience in Call Center/Customer Service environment in the healthcare/insurance field
Strong knowledge of medical conditions/terminology and insurance products
Prior experience with multiple customer service issues including account management and benefit administration systems, preferably Ease
Good understanding of HIPAA laws and guidelines
Knowledge of Microsoft Office, specifically Excel, Word, Outlook Exchange and Microsoft Teams
Proficiency in Internet Explorer and Google Chrome
Effective verbal and written communication with internal and external personnel
Ability to read, analyze and interpret Explanation of Benefits (EOB)
Ability to read, comprehend, and interpret underwriting procedures, requirements, regulations, and contracts
Ability to maintain complete confidentiality of information
Ability to contribute to a positive team environment
Ability to complete tasks on time while managing multiple tasks simultaneously
English language fluency required
Ability to occasionally work long, irregular hours
Ability to sit, frequently speak and hear, and occasionally stand, walk, bend, crawl, kneel, and lift up to 25 lbs.