Health Benefits Officer II (Health Insurance Call Center Customer Service Representative - Foreign Service Benefit Plan) jobs in United States
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American Foreign Service Protective Association ยท 3 hours ago

Health Benefits Officer II (Health Insurance Call Center Customer Service Representative - Foreign Service Benefit Plan)

The American Foreign Service Protective Association (AFSPA) is seeking detail-oriented, service-driven professionals to support members navigating Foreign Service Benefit Plan (FSBP) health benefits. This role involves assisting members with inquiries related to health benefits, claims, and eligibility while ensuring compliance with healthcare regulations and policies.

Financial ServicesInsuranceLife InsuranceNon Profit

Responsibilities

Answer high-volume inbound calls in a call center environment
Assist members with health benefits, claims, eligibility, and coverage inquiries via phone, email, and written correspondence
Troubleshoot issues, de-escalate member concerns, and resolve inquiries in alignment with regulatory and plan guidelines
Review claims for accuracy and completeness, and document all member interactions in Customer Relationship Management (CRM) systems in real-time
Collaborate with plan administrators and escalate issues to supervisors as needed
Ensure compliance with healthcare regulations, policies, and procedures

Qualification

Health insurance experienceCustomer service experienceMedical claims knowledgeBenefits administrationProfessionalismEmpathyLearning multiple systemsProblem-solving abilitiesDetail-orientedOrganizational skillsWork under pressure

Required

High school diploma or equivalent required
3+ years of customer service experience required (in a call center, benefits or healthcare environment preferred)
Experience with health insurance, medical claims, or benefits administration is a plus
You are highly organized, detail-oriented, with excellent problem-solving abilities, and comfortable working with and following documented policies and procedures
You can remain professional and calm under pressure
You can manage high-volume inbound calls while maintaining professionalism and empathy
You are comfortable learning multiple systems and passing structured training assessments

Preferred

3+ years of customer service experience in a call center, benefits or healthcare environment preferred

Benefits

Comprehensive medical, dental, and vision coverage
Retirement plan (401k)
Paid time off
Paid holidays

Company

American Foreign Service Protective Association

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American Foreign Service Protective Association (AFSPA) is an insurance provider that offers a variety of insurance products to eligible civil and foreign service personnel.

Funding

Current Stage
Growth Stage

Leadership Team

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Kyle Longton, CAE, REBC
Chief Operating Officer
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Company data provided by crunchbase