Commercial Health Call Center Representative (Health Insurance)

Location: Remote within the United States; candidates must reside in the CST or EST time zones. Business hours are weekdays, 9:00–17:00 CST.

Salary: $55,000 per year.

Company

hirify.global is the major medical division of Globe Life, providing technology-enabled commercial health plans focused on access, transparency, and personalized member support.

What you will do

• Research, review, and respond to member and provider inquiries by phone and email.
• Explain commercial health plan benefits, eligibility, claims, billing guidelines, and claim payments.
• Handle complaints, appeals, escalations, and difficult calls with empathy and professionalism.
• Coordinate issue resolution with Claims, Medical Management, Appeals and Grievance, vendors, providers, and other partners.
• Document calls, identify trends, recommend solutions, and meet production and quality standards.
• Help members use the portal and participate effectively in virtual team communication.

Requirements

• At least two years of customer service experience supporting a commercial health plan is required.
• Must live and work in the United States in the CST or EST time zone.
• Experience supporting operational areas such as Claims, Medical Management, Appeals, and Grievance.
• Knowledge of medical and insurance terminology, including CPT/ICD-10, HCPCS, and Revenue Codes.
• Strong verbal and written communication, problem-solving, attention to detail, and accuracy.
• Proficiency with Microsoft Office and prior CRM experience, preferably Salesforce.

Nice to have

• Fluency in Spanish.

Culture & Benefits

• Fully remote work environment with virtual team huddles, supervisor meetings, messaging, and check-ins.
• Dedicated private work area and secure handling of sensitive company documents required.
• High-speed internet connection required.
• Health, dental, vision, life, and disability insurance.
• Retirement savings plan with company match, paid time off, and professional development opportunities.