Customer Account Specialist- Insurance

The Insurance Account Specialist is responsible for delivering exceptional service to a designated group of insurance customers. This position is responsible for managing day-to-day operations including customer service, billing and payments, eligibility administration, and other support functions. By ensuring accuracy, efficiency, and a high standard of service, the Insurance Account Specialist contributes to company’s revenue goals and supports its mission to provide best-in-class service across health and welfare insurance lines.

Essential Duties and Responsibilities

• Prioritize and process complex insurance-related transactions, including eligibility updates, billing, payments, and other administrative tasks to ensure timely and accurate service delivery.
• Maintain a thorough understanding of internal policies, procedures, and legal guidelines specific to Church Health Plans. Stay current with changes in products, markets, technology, and regulatory environments.
• Assist in designing, implementing, and maintaining processes that enhance departmental performance. Focus areas include increasing operational efficiency, reducing errors and redundancies, and supporting quality assurance initiatives.
• Partner with internal teams to deliver seamless customer experience, enhanced retention, and deliver effective and efficient customer solutions.
• Contribute to project teams as needed, offering subject matter expertise in insurance plan administration and customer service best practices.
• Ensure all activities comply with applicable laws, regulations, and organizational policies and procedures.

Core Competencies

Knowledge, Skills and Abilities