Experienced Remote FEP Customer Service Representative – Health Insurance Claims Specialist, Full‑Time, brighthush

About brighthush

brighthush is a trailblazer in the health‑insurance landscape, serving millions of members across the United States with a commitment to innovation, community partnership, and exceptional care. Our mission is simple yet powerful: to empower people to live healthier lives by providing clear, compassionate, and reliable support whenever they need it. Whether you’re a seasoned professional or just beginning your career, brighthush offers a culture of collaboration, continuous learning, and a shared vision that turns everyday work into meaningful impact.

Why This Role Is a Game‑Changer

As a frontline advocate, you’ll be the first point of contact for members navigating their benefits. Your voice, empathy, and analytical mindset will shape the experience of thousands of individuals seeking clarity and resolution. Working remotely from your home office, you’ll enjoy the flexibility of a home‑based schedule while staying connected to a vibrant, mission‑driven team that values every contribution.

Key Responsibilities

• Member Support & Claims Processing: Resolve member inquiries regarding coverage, benefits, and claims with empathy, accuracy, and a sense of urgency.
• Policy Interpretation: Apply brighthush policies and regulatory guidelines to answer questions and guide members through complex processes.
• Documentation & Data Entry: Record all interactions in our systems with meticulous attention to detail, ensuring data integrity and compliance.
• System Navigation: Master Microsoft Office Suite, Facets, Inquiry Control System, Interactive Voice Response (IVR), and Automated Call Distribution (ACD) to manage calls and data efficiently.
• Continuous Improvement: Identify trends, provide actionable feedback, and collaborate with cross‑functional teams to enhance member experience and operational excellence.

Essential Qualifications

• High school diploma or GED (college coursework or a degree is a plus).
• Minimum of 1 year of customer service experience, preferably in health‑insurance or a related field.
• Strong verbal and written communication skills in English.
• Proficiency with Microsoft Office (Word, Excel, Outlook) and experience using call‑center software.
• Ability to interpret complex policies and translate them into clear, actionable information for members.
• Excellent organizational skills and attention to detail in a sedentary, key‑heavy environment.
• Self‑motivated, proactive, and comfortable working independently in a remote setting.

Preferred Qualifications

• Experience with Facets or similar health‑insurance claims platforms.
• Knowledge of health‑insurance terminology, benefits, and regulatory requirements.
• Prior exposure to IVR and ACD systems.
• Demonstrated ability to handle high‑volume call traffic while maintaining quality service.
• Background in data analysis or reporting.

Core Skills & Competencies

• Customer‑Centric Mindset: Passion for helping people and a genuine desire to improve member outcomes.
• Problem‑Solving: Ability to analyze issues, identify root causes, and propose effective solutions.
• Technical Proficiency: Comfortable navigating multiple software platforms and troubleshooting basic technical issues.
• Time Management: Efficiently manage call queues, documentation, and follow‑ups within tight deadlines.
• Collaboration: Work seamlessly with team members, supervisors, and other departments to resolve complex member needs.
• Adaptability: Thrive in a dynamic environment with evolving policies and technology updates.

Career Growth & Learning Opportunities

At brighthush, we believe in investing in our people. As an FEP Customer Service Representative, you’ll have access to:

• Structured onboarding and mentorship programs to accelerate your learning curve.
• Regular training sessions on new policies, technology upgrades, and customer‑service best practices.
• Clear career pathways to roles such as Senior Claims Specialist, Team Lead, or Operations Manager.
• Cross‑functional projects that expose you to different aspects of the health‑insurance ecosystem.
• Access to an internal learning portal featuring courses, certifications, and industry webinars.

Work Environment & Company Culture

brighthush fosters a culture of inclusivity, transparency, and continuous improvement. Even though this role is remote, you’ll feel part of a tight‑knit community through:

• Weekly virtual team huddles and monthly all‑hands meetings.
• Digital collaboration tools (Slack, Teams, SharePoint) that keep communication fluid.
• Annual virtual retreats and quarterly town‑hall sessions where leadership shares vision and strategy.
• Employee resource groups that celebrate diversity and provide support networks.
• Recognition programs that celebrate milestones, achievements, and innovative ideas.

Compensation & Benefits

brighthush offers a competitive compensation package designed to reward performance and dedication:

• Salary Range: $16,000 – $31,000 per year, commensurate with experience and performance.
• Paid Time Off: Generous vacation, sick leave, and personal days to maintain work‑life balance.
• Retirement Plan: 401(k) with company match to secure your financial future.
• Health & Wellness: Comprehensive medical, dental, and vision plans, plus wellness stipends.
• Professional Development: Tuition reimbursement for relevant courses and certifications.
• Employee Assistance Program: Confidential counseling and support services.
• Additional perks such as flexible work hours, remote‑work stipends, and employee discounts on health‑related products.

How to Apply

Ready to make a tangible impact on the lives of our members? Submit your application through our careers portal and join a team that values integrity, innovation, and service excellence. We look forward to welcoming you to brighthush!