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Health Insurance Customer Service Jobs (NOW HIRING)

NAPAA

Insurance Customer Service Representative

Miami, FL · On-site

$14 - $18/hr

The Personal Lines CSR at Del Campo Insurance Group is responsible for maintaining solid customer ... Health Benefits (Medical) * 401k with up to 3% Employer Match * Access to Training * Weekends Off

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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

Insurance Customer Service Representative

Jodi Enderson Agency, Inc.

Rapid City, SD • On-site

$18 - $24/hr

Full-time

Medical, PTO

Posted 24 days ago

Job description

Our office is expanding and we are looking to hire the right individual to join our outstanding customer service team. We are currently seeking to fulfill a full-time position. Our Customer Service Representative will be responsible for providing exceptional customer service to our current clients and new prospects, processing policy change requests, maintain knowledge of our products, and answer any questions our clients may have.

Insurance industry or office experience and knowledge is not required but would be a greater benefit relating to customers in the beginning for this position.

**All applicants will receive an online assessment immediately after applying. Incomplete assessments will not be considered further for this position.**


Benefits

Hourly Base Salary + Bonus Opportunities

Paid Time Off (PTO)

Health Insurance

Mon-Fri Schedule


Responsibilities
  • Foster strong relationships with our customers to maintain a high level of client retention and product loyalty.
  • Process customer policy change requests, complete Evidence of Insurance requests and take premium payments form clients.
  • Handle all incoming claim calls from customers and make claims follow up calls.
  • Document each customer contact..
  • Ask each customer for referrals and explain our referral program.
  • Treat each customer contact as a cross and up-sell opportunity including financial products.
  • Informs customers of promotions and new or upgraded products using prepared scripts.
  • Respond to all inquiries, cancellation requests, and sales requests within a specified time frame.

Requirements
  • Property & Casualty insurance license preferred.
  • Life & Health Insurance license preferred.
  • Possess a genuine willingness to learn, be intuitive and resourceful and be coach able.
  • Proficiency to multi-task, follow-thru and follow-up.
  • Excellent Communication/interpersonal skills.
  • Follow through and exceed current and prospective client expectations.
  • Respond to all inquiries, cancellation requests, and sales requests within a specified time frame.