Customer Care Center Representative – Health Insurance & Claims Support Specialist

About brighthush

brighthush is a leading not‑for‑profit health insurer and federal government contractor dedicated to simplifying healthcare for individuals, families, seniors, and businesses across the United States. With nearly 80 years of experience, we provide comprehensive health plans, manage claims, and deliver exceptional customer support to millions of beneficiaries, including active‑duty and retired military personnel. Our mission is to make healthcare easier, more transparent, and more accessible for everyone we serve.

Why Join brighthush?

At brighthush, we believe that our people are our greatest asset. We foster an inclusive, empowering environment where every team member can bring their authentic self to work. Our culture is built on collaboration, continuous learning, and a shared commitment to innovation. We are proud recipients of national and local awards for workplace excellence, and we invest heavily in professional development, mentorship, and career advancement.

Key Responsibilities

• First Point of Contact: Serve as the primary liaison for members, brokers, and medical providers, addressing inquiries related to benefits, eligibility, claims, billing, and healthcare services.
• Inquiry Resolution: Research and resolve complex questions across multiple systems, delivering clear, accurate, and concise responses both verbally and in writing.
• Issue Escalation: Collaborate with internal teams to handle escalated or complex inquiries, ensuring a seamless experience for all stakeholders.
• Documentation: Maintain meticulous records of all interactions in the system, supporting follow‑up actions and quality assurance initiatives.
• Policy & Compliance: Stay current on health plan products, policy updates, regulatory requirements, and industry best practices, ensuring adherence to HIPAA, CMS, and other relevant guidelines.
• Continuous Improvement: Participate in training, feedback sessions, and process improvement initiatives to enhance service quality and operational efficiency.
• Additional Duties: Perform any other job‑related responsibilities as assigned to support the team and the organization.

Essential Qualifications

• High School Diploma, GED, or equivalent experience.
• Minimum of one year of customer service experience in a fast‑paced, high‑volume health insurance or healthcare call center environment.
• Exceptional verbal and written communication skills, with the ability to explain complex information in a clear, empathetic manner.
• Strong problem‑solving abilities, capable of handling difficult situations with patience and professionalism.
• Proficiency in multitasking, prioritizing, and managing time effectively in a dynamic setting.
• High level of accuracy and attention to detail.
• Proficiency with Microsoft Office Suite and web/portal navigation.
• Ability to adhere to a structured work schedule based around the Central Time Zone.

Preferred Qualifications

• Experience with customer service software such as Facets or NTT.
• Basic knowledge of medical terminology and healthcare processes.

Skills & Competencies

• Customer‑centric mindset with a passion for delivering outstanding service.
• Strong analytical and research skills to navigate complex systems.
• Excellent interpersonal skills, fostering trust and rapport with diverse populations.
• Adaptability and resilience in a fast‑moving environment.
• Team player who collaborates effectively across departments.
• Commitment to continuous learning and professional growth.

Career Growth & Learning Opportunities

At brighthush, we are committed to your professional development. You will have access to:

• Structured onboarding and comprehensive training programs.
• Leadership development initiatives and mentorship programs.
• Cross‑functional projects that broaden your skill set.
• Clear career pathways from Customer Care Representative to Team Lead, Manager, and beyond.
• Regular performance reviews and goal‑setting sessions to align your growth with organizational objectives.

Work Environment & Culture

Our remote‑first approach allows you to work from the comfort of your home while staying connected to a vibrant, collaborative team. We provide:

• High‑speed internet requirements (minimum 10 Mbps downstream, 1 Mbps upstream).
• Flexible scheduling within the Central Time Zone to accommodate life’s demands.
• A supportive, inclusive culture that values diversity, equity, and belonging.
• Regular virtual team events, wellness programs, and community outreach initiatives.

Compensation & Benefits

We offer a competitive compensation package that includes:

• Starting base salary of $20.50 per hour.
• Performance bonuses and merit increase opportunities.
• 401(k) plan with a 100% match on the first 3% of your salary and a 50% match on the next 2% (100% vested immediately).
• Comprehensive health, dental, and vision insurance starting on Day 1.
• Telehealth services and mental health support.
• Paid time off (PTO) and holiday schedule.
• Professional development stipend and tuition reimbursement.
• Employee assistance program (EAP) and wellness resources.

Remote Work Eligibility

We welcome remote candidates from the following approved states:

• Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin.

All remote employees must meet the following technical requirements:

• High‑speed cable or fiber internet connection (minimum 10 Mbps downstream, 1 Mbps upstream).
• Reliable computer with webcam and headset.
• Ability to maintain a quiet, professional workspace.

For more details, review our Remote Worker FAQs at Remote Work FAQs.

How to Apply

If you are passionate about delivering exceptional customer service, thrive in a fast‑paced environment, and want to make a real difference in people’s lives, we encourage you to apply today. Submit your application through our career portal and take the first step toward a rewarding career with brighthush.

Connect With Us

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Ready to join a team that values your expertise and supports your growth? today and become part of the brighthush family.