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Health Insurance Customer Service Jobs (NOW HIRING)

Minimum of four (4) years of front-facing customer services experience, preferably in healthcare, public health, health insurance, or health administration setting. * Experience working in a health ...

Insurance Customer Service

Austin, TX · On-site

$50K - $75K/yr

... friendly customer service. Service can include responding to inquiries regarding insurance ... Life and Health license (required) * Excellent interpersonal skills * Excellent communication ...

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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 Sep 6, 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 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.

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 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 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.

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 CSR

Prospect Infosys Inc

Nashville, TN

$20 - $23/hr

Contractor

Medical

Re-posted 14 days ago


Job description

Job Title: Call Center Operator/Health Insurance Call Center

Location: Nashville TN

Duration: Long Term

Rate: 22/hr. on 1099

Education: Bachelors is a must

Role will require Onsite on Mondays else, remote.

Program Support and Enrolment Assistance

Minimum Required Qualifications

*Eligibility to work in the United States

  • Bachelor’s degree or Master’s degree in Health Administration, Public Health, Healthcare Management, or a closely related field.
  • Minimum of four (4) years of front-facing customer services experience, preferably in healthcare, public health, health insurance, or health administration setting.
  • Experience working in a health administration environment with demonstrated knowledge of healthcare operations, processes, and client service delivery.
  • Proven ability to thoroughly document client interactions, research issues, conduct appropriate follow-up, and bring issues to resolution in a timely manner.
  • Strong problem-solving skills with the ability to analyze complex situations, identify solutions, and coordinate resolution among multiple priorities while maintaining a high level of accuracy and attention to detail.
  • Ability to work effectively in a moderately-paced environment while managing multiple tasks and maintaining a high level of accuracy and attention to detail.
  • Demonstrated ability to adapt quickly to changing procedures, priorities, and program requirements.
  • Excellent verbal and written communication skills, with the ability to communicate professionally with case managers, healthcare professionals, staff, vendors, and community partners.
  • Strong organizational and time-management skills.
  • Proficiency in Microsoft Office applications and experience working with databases, case management systems, or other electronic information systems, simultaneously.
  • Ability to maintain confidentiality and comply with all the applicable HIPAA, Ryan White Program, and organizational requirements.

Preferred Qualifications

  • Experience supporting Ryan White HIV/AIDS Program services, AIDS Drug Assistance Programs (ADAP), health insurance enrollment, or benefits coordination.
  • Knowledge of HIV care systems, medication access programs, and healthcare coverage options.
  • Experience providing technical assistance and support to case managers, healthcare providers, or public health partners.
  • Experience working with state or federally funded healthcare programs.