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Health Insurance Customer Service Jobs (NOW HIRING)

Horihan Insurance

Be Seen First

Insurance Customer Service Representative

Winona, MN · On-site

$15 - $17/hr

Horihan Insurance is seeking an insurance CSR to assist with customer service work in our office ... Health insurance * Paid time off * Vision insurance Shift: * 8 hour shift Work Location: In person

Eagle Rock Insurance Agency

Insurance CSR/Producer

Berkley, MI · On-site

$36K - $50K/yr

Eagle Rock Insurance Agency is growing, and ready to add a new Insurance Customer Service Representative to our team! We pride ourselves on our excellent culture, and we are seeking someone who wants ...

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Health Insurance Customer Service information

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$26K

$48.4K

$73K

How much do health insurance customer service jobs pay per year?

As of Jun 9, 2026, the average yearly pay for health insurance customer service in the United States is $48,409.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $55,000.00 per year, depending on experience, location, and employer.

What is the difference between Health Insurance Customer Service vs Health Insurance Claims Specialist?

AspectHealth Insurance Customer ServiceHealth Insurance Claims Specialist
Required CredentialsHigh school diploma; customer service experienceHigh school diploma; knowledge of claims processing
Work EnvironmentCall centers, office settingsClaims departments, office settings
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, healthcare organizations
Common Search & Comparison IntentCustomer support, policy inquiriesClaims processing, reimbursement issues

Health Insurance Customer Service representatives primarily handle policy inquiries and customer support, while Health Insurance Claims Specialists focus on processing claims and reimbursement. Both roles require knowledge of insurance policies and excellent communication skills, but they differ in daily tasks and focus areas within the insurance industry.

What are the key skills and qualifications needed to thrive as a Health Insurance Customer Service Representative, and why are they important?

To thrive as a Health Insurance Customer Service Representative, you need a solid understanding of health insurance products, claims processing, and policy guidelines, often supported by a high school diploma or equivalent and relevant on-the-job training. Familiarity with customer relationship management (CRM) software, call center systems, and sometimes HIPAA certification is typically required. Strong communication, patience, and problem-solving skills help you effectively address customer concerns and navigate complex situations. These skills and qualifications are crucial for delivering accurate information, resolving issues efficiently, and maintaining customer satisfaction in a highly regulated industry.

What are some common challenges faced by health insurance customer service representatives, and how are they typically addressed?

Health insurance customer service representatives often encounter challenges such as navigating complex policy details, managing high call volumes, and assisting customers who may be stressed or frustrated about their coverage. To address these, representatives are usually provided with thorough training on insurance products and effective communication strategies. Teams are also supported by knowledge bases and escalation procedures to ensure accurate information is given and customer concerns are resolved efficiently. Collaboration with claims specialists and supervisors is common to resolve more complex issues and ensure a positive customer experience.

What does a Health Insurance Customer Service representative do?

A Health Insurance Customer Service representative assists policyholders with questions about their health insurance plans, including coverage details, claims processing, billing inquiries, and policy changes. They help customers understand their benefits, resolve issues, and guide them through processes such as filing a claim or updating personal information. Representatives may also provide information about plan options and help customers select the best coverage for their needs. Their goal is to ensure a positive experience and clear communication between the insurance provider and the customer.
More about Health Insurance Customer Service jobs
What cities are hiring for Health Insurance Customer Service jobs? Cities with the most Health Insurance Customer Service job openings:
What are the most commonly searched types of Health Insurance Customer Service jobs? The most popular types of Health Insurance Customer Service jobs are:
What states have the most Health Insurance Customer Service jobs? States with the most job openings for Health Insurance Customer Service jobs include:
Health Insurance Customer Service jobs near you

Health Insurance - Customer Service

quantum-health

Dublin, OH

$18/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 28 days ago

Job description

Description

Who We Are

Founded in 1999, Quantum Health is an independent healthcare navigation organization headquartered in Central Ohio. We believe no one should have to navigate the complexity of healthcare alone. Our mission is to make healthcare simpler and more effective for our members. We are a big-hearted, tech-savvy team committed to ensuring our members get the care they need at the most affordable cost—we call ourselves Healthcare Warriors®.

With more than 2,000 employees and counting, we are committed to building diverse and inclusive teams. If you're excited about this role, we encourage you to apply—even if you don’t meet every requirement.

At a Glance

  • Hiring Classes: Next hiring classes scheduled for June 2026+
  • Location: Onsite at our Dublin, OH campus, eligible for hybrid flexibility*
  • Starting Pay: $18+ per hour
  • Schedule: Full time position, 40 hours/week, Monday – Friday, no weekends
  • Available Shifts: 10:00am- 7:00pm; 10:30am-7:30pm; 11am-8pm; 11:30am-8:30pm; 12pm-9pm; 12:30pm-9:30pm; 1pm-10pm
  • Shift Differential: +$0.50 per hour (11:00am-8:30pm EST); +$1.50 per hour (12:00pm-10:00pm EST)

The Impact You’ll Make

As a Patient Service Representative, you will play a crucial role in helping members navigate their healthcare journey with confidence. You will be their main point of contact, assisting with questions about benefits, claims, and provider options while ensuring they receive the right care at the right time. Your ability to listen, problem-solve, and provide clear guidance will directly impact their healthcare experience. Through each interaction, you will not only resolve concerns but also empower members with knowledge to make informed decisions about their care.

Beyond answering questions, you will proactively identify potential cost-saving opportunities, advocate for necessary services, and collaborate with internal teams to streamline healthcare access. Whether it’s helping a member understand their medical bills, coordinating pharmacy needs, or removing barriers to care, your support will make a meaningful difference in their lives.

Learn more by watching the “What it means to Warrior with us” video, here!

What Success Looks Like

  • Resolve inquiries efficiently by handling inbound/outbound calls and addressing concerns in a timely manner.
  • Show empathy and support to members during difficult healthcare situations.
  • Provide clear guidance on healthcare plans, billing, and provider options.
  • Advocate for members by coordinating with providers and insurers to remove barriers to care.
  • Work collaboratively with internal teams to ensure accurate and seamless service.
  • Meet performance goals while continuously learning and developing expertise in healthcare navigation.
  • All other duties as assigned.

What You’ll Bring

  • Education: High School Diploma or General Education Development (GED) equivalent required; college coursework or degree is a plus!
  • Customer-Focused Mindset: Passion for helping others and ensuring a positive experience for members.
  • Problem-Solving Skills: Ability to think critically, use available resources, and adapt to evolving challenges.
  • Strong Communication: Comfortable handling phone conversations and emails professionally and efficiently.
  • Tech Savvy: Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently.
  • Accountability & Dependability: A consistent, reliable presence with a commitment to meeting work schedule expectations and a commitment to working within Quantum Health’s policies, values and ethics, and protect the sensitive data entrusted to us.
  • Growth-Oriented Attitude: Eagerness to learn, take on new challenges, and develop professionally within the healthcare industry.

Why Join Us?

  • Ability to Make a Difference: As the first point of contact for our members, you will have a direct impact on their healthcare experience – solving real problems, providing clarity, and ensuring they get the care they need when they need it.
  • Career Growth: Access to training, mentorship, and advancement opportunities, supported by a dedicated Learning and Development team.
  • Engaging Work Culture: A collaborative, inclusive, and community-driven workplace with team-building activities and social events.
  • Hybrid Work Flexibility: Success in this role starts with strong in-office collaboration during your onboarding. Once you and your leader agree that you are performing confidently, you may transition to a hybrid schedule – provided you have a home environment suitable for remote work. *(manager approval is required)
  • Comprehensive Benefits: Flexible wellness programs, additional leave policies, and comprehensive benefits designed to support work-life balance.

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#LI-ONSITE

Ready to Make an Impact?

If you’re looking for a career where you can help others while growing professionally, we want to hear from you! Apply today and be part of a team that’s redefining healthcare navigation.


What’s in it for you

  • Compensation: Competitive base and incentive compensation
  • Coverage: Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more.
  • Retirement: 401(k) plan with up to 4% employer match and full vesting on day one.
  • Balance: Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
  • Development: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.
  • Culture: Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision.
  • Environment: A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more!

What you should know


  • Internal Associates: Already a Healthcare Warrior? Apply internally through Jobvite.
  • Process: Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check.
  • Diversity, Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers, we’re committed to empowering our ERGs, and we’re proud to be an equal opportunity employer .
  • Tobacco-Free Campus: To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.
  • Compensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate’s unique combination of experience and qualifications related to the position.
  • Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.
  • Agencies: Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.

Reasonable Accommodation: Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, click here to submit a recruitment accommodation request.


Recruiting Scams: Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending in @quantum-health.com. Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment. If you believe you’ve encountered a recruiting scam, report it to the Federal Trade Commission and your state’s Attorney General.

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