Call Center Rep (CSR)

Job Summary:
As a Call Center Representative (CSR) for a leading dental benefits provider youll serve as the frontline support for customers and dental professionals-resolving inquiries processing claims and ensuring exceptional service. This fully remote Maryland-based contract role offers a unique opportunity to contribute to a long-term healthcare project while developing expertise in dental and health insurance. Your communication troubleshooting and critical thinking skills are essential for delivering accurate information and maintaining high service standards in a fast-paced environment.

Key Responsibilities:

- Respond to customer and provider inquiries across multiple channels (phone email chat web portal)
- Resolve coordination of benefits enrollment third-party liability and claims attachment issues
- Accurately interpret and communicate insurance coverage eligibility and claims processes
- Document all customer interactions thoroughly in the system
- Educate members and dental professionals on benefits claims payment and authorizations
- Guide users on self-service tools and portal navigation
- Assist members in locating network dentists or assigning primary care dentists
- Appropriately route complex issues to relevant departments
- Research and resolve claims payment inquiries ensuring timely follow-up
- Maintain compliance with company policies and service standards
- Suggest process improvements and contribute to overall team success




Recruiter Insights:
- Competitive $18/hour rate for a remote opportunity with long-term project stability
- Exclusive to Maryland residents reducing candidate pool for targeted sourcing
- Fast 1-step video interview and clear training/onboarding schedule
- Ideal for candidates with health insurance/call center experience seeking advancement in healthcare customer service
- Preferred skills like bilingual fluency (Spanish or Mandarin) Medicare/Medicaid and dental terminology enhance candidate pool but are not required

Candidate Insights:
- 100% remote work; no daily commute ideal work/life balance
- Structured training with no weekends or major holidays required during onboarding
- Opportunity to gain specialized healthcare and dental insurance experience
- Clear career path with possible long-term/extensions
- Supportive team environment where process improvement suggestions are valued

Location: Maryland residents only (Remote)
Pay Rate: $18.00/hour
Contract: 3 months to start with potential for extension
Start Date: November 26 or 27 2025
Schedule: Mon Fri 8-hour shifts between 6:00 AM 7:00 PM CST