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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 Aug 17, 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

Melissa Izatt Insurance Agency LLC

Eagle River, AK • On-site

$18 - $25/hr

Full-time

Life, Retirement, PTO

Posted 4 days ago

Job description

If you're a true people person who loves helping others, building relationships, and making someone's day a little easier, you may be exactly who we're looking for.

At Melissa Izatt Insurance Agency, taking care of people is at the heart of what we do. We're a close-knit, local Eagle River agency with a nurturing, supportive environment where our clients are more than policy numbers and our team is more than a group of coworkers. We genuinely care about the people we serve, the community we're part of, and the people who work alongside us.


We're looking for a Customer Service Representative to become an important part of that environment. You'll spend your day helping clients with their insurance needs, answering questions, making policy changes, assisting with payments, and making sure the people who call or walk through our doors feel heard, valued, and taken care of.


Insurance experience is absolutely a plus, but we're willing to train the right person. What matters most is finding someone with a strong customer service background who genuinely enjoys working with people, takes pride in helping others, and wants to build lasting relationships with the clients they serve.


Compensation is based on licensing and relevant experience, with unlicensed candidates typically starting around $18–$20/hour and licensed candidates around $22–$25/hour. This is a flat hourly position with additional bonus opportunities available. If you aren't currently licensed, no problem! We're willing to help the right person learn the industry and work toward obtaining their Property Casualty license.


If you're looking for a place where you can build relationships, help people every day, and be part of a team that truly values its employees and its community, we'd love to hear from you. Apply today!

Responsibilities
  • Help clients with policy questions, changes, payments, and other day-to-day insurance needs.
  • Explain insurance products and services in a clear, easy-to-understand way.
  • Build strong relationships with clients and make sure they feel heard, valued, and well taken care of.
  • Be a friendly, helpful point of contact for clients by phone and in the office.
  • Process client requests, update account information, and maintain accurate records.
  • Work closely with the rest of the team to solve problems and provide a great client experience.
Requirements
  • Property Casualty Insurance license preferred, but not required. Must be willing to obtain one within 60 days of employment.
  • Prior customer service and/or insurance experience preferred.
  • A positive, dependable, and team-oriented attitude.
  • A genuine passion for helping people and building relationships.
  • Excellent communication and interpersonal skills.
  • Strong attention to detail and the ability to stay organized.
  • Comfortable with basic computer operations and data entry.
  • Ability to reliably work in-office and commute to our Eagle River location.
Benefits
Paid Time Off (PTO)###Hands on Training###Career Growth Opportunities###Monthly Bonus Opportunities###Additional Life Insurance Application Bonuses###3% Retirement Match###Monday to Friday, 9 AM - 3 PM Schedule###Flexible Scheduling When Needed###Pay Raise Opportunities###Paid Holidays###Free Coffee###Monthly Employee Appreciation Lunches###Supportive, Close-Knit Work Environment###