Careers

Customer Service Representative
Work from home opportunity!

Are you looking for a career with an established company who values its employees? Administrative Concepts, Inc. (ACI) is a fast-growing company that offers its employees meaningful work and a positive environment. Founded in 1997, ACI is a nationally licensed, full service, Third Party Administrator providing enrollment, fulfillment and claims processing services for various insurance lines in the medical claims industry.

This position is a work from home remote opportunity! Our office is located in Collegeville, PA. If you’re looking for a rewarding career, not just another job, then come join our team as a Customer Service Representative!

We’re looking for people who thrive on helping customers with a passion for service to join our growing call center. We offer employees an opportunity to develop their career because as they grow, we look to promote from within.

Responsibilities of the Customer Service Representative (Bilingual):

• Answer inbound calls and providing health insurance information to clients including bilingual members
• Responsible for maintaining a high level of professionalism with clients and working to establish a positive rapport with every caller
• Update customer information in the customer service database during and after each call
• Work with the management team to stay updated on product knowledge and be informed of any changes in company policies
• Handle 70-80 calls per day once fully up to speed (2-3 months)

Requirements of the Customer Service Representative (Bilingual):

• Bilingual Spanish
• Strong communication and interpersonal skills
• Basic computer skills (MS Office Preferred)
• Medical or health insurance background a plus
• Call center experience preferred but not required

We offer a comprehensive training program to prepare you for providing exceptional customer service.

Shifts & Benefits:

• Monday through Friday: 9am-5pm (primary shift), 10am-6pm or 12 pm-8 pm
• Bi-Lingual Spanish hourly incentive
• Background Check required for employment.
• PTO & Holiday Pay
• 401(k)
• Medical/Dental/Vision'

Job Type: Full-time

Pay: $31,200.00 - $37,440.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Paid training
• Vision insurance
• Work from home

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Spanish: 3 years (Required)

Work Location: Remote

Are you looking for a career with an established company who values its employees? Administrative Concepts, Inc. (ACI) is a fast-growing company that offers its employees meaningful work and a positive environment. Founded in 1997, ACI is a nationally licensed, full service, Third Party Administrator providing enrollment, fulfillment and claims processing services for various insurance lines in the medical claims industry.

GENERAL PURPOSE OF THE JOB: Disability Examiners are responsible for processing statutory disability claims, PFL claims, short term disability claims and maintaining a working knowledge of policy and state mandated insurance requirements.

ESSENTIAL DUTIES: 
Process statutory disability claims, PFL claims, short term disability claims and maintain a working knowledge of policy, procedure, and state mandated insurance requirements.

Adhere to workflow processes and documentation requirements.

Examiners respond to verbal claim appeals and process adjustments on statutory disability claims, PFL claims, short-term disability claims where a phone call is received, and an adjustment is warranted on the claim.

Identify and escalate customer issues when appropriate to the Disability Claims Manager.

Answer phone calls regarding disability questions and respond to emails.

Successful candidates will possess strong verbal and written communication skills, a strong attention to detail, an understanding and experience in short-term disability claims adjudication processing, history of timely and accurate disability claims processing production, knowledge of disability terminology and coding, basic computer skills, a working knowledge of MS Office, and character strengths that align with the position.

Candidates are expected to obtain the required license for independent adjuster (accident and health) within one year of employment.

DESIRABLE QUALIFICATIONS:

•  2-5 years of experience processing short-term disability claims
• Knowledge of disability terminology and codes
• Understanding of the full adjudication process
• Ability to prioritize and organize
• Strong verbal and written communication skills
• Strong data entry skills
• Experience with MS Office
• Background check is required for employment
• ClaimVantage software experience preferred
• Statutory Disability, PFL, FMLA, short-term disability processing experience is a PLUS