Remote Customer Service & Call Center Executive – Enrollment & Claims Support Specialist

About brighthush and the Opportunity

brighthush is a forward‑thinking, technology‑driven organization that empowers people and businesses to thrive in an ever‑evolving digital landscape. With a global footprint and a culture that prizes innovation, collaboration, and continuous learning, brighthush is redefining the way customer service and enrollment support are delivered. We’re looking for a dedicated, customer‑centric professional to join our remote team as a Customer Service & Call Center Executive. In this role, you will be the frontline advocate for our members, ensuring seamless enrollment transactions, resolving issues, and upholding the highest standards of service excellence.

Why This Role Matters

Enrollment and claims processes are the lifeblood of the health‑care ecosystem. As a member of the brighthush team, you will play a pivotal role in guiding clients through complex enrollment transactions—whether they’re new sign‑ups, existing client updates, or transfers between Blue Cross Blue Shield (BCBS) and non‑BCBS plans. Your expertise will directly impact member satisfaction, retention, and the overall success of our partners’ programs.

Key Responsibilities

• Execute enrollment transactions in strict adherence to contractual and medical underwriting guidelines for new clients, existing clients, and transfers to and from BCBS and non‑BCBS plans.
• Provide clear, empathetic guidance to members, helping them navigate enrollment steps, resolve issues, and answer questions about coverage, benefits, and plan options.
• Maintain accurate, up‑to‑date records of all member interactions, transactions, and follow‑ups in the company’s CRM system.
• Collaborate with cross‑functional teams—including underwriting, billing, and technical support—to resolve complex member inquiries and ensure a smooth handoff.
• Identify and document recurring issues or process bottlenecks, and propose actionable improvements to enhance the member experience.
• Participate in ongoing training and development programs, including a 3‑4 week virtual onboarding curriculum focused on enrollment processes, compliance, and customer service best practices.
• Adhere to all regulatory and compliance requirements, including HIPAA, data privacy, and industry standards.
• Meet or exceed key performance indicators (KPIs) such as call resolution time, member satisfaction scores, and transaction accuracy.

Essential Qualifications

• 1–2 years of customer service experience in a call center environment, preferably within the health‑care or insurance sector.
• Strong understanding of enrollment processes, medical underwriting, and the nuances of BCBS and non‑BCBS plan structures.
• Excellent oral and written communication skills, with the ability to explain complex information in a clear, concise manner.
• Proficiency in using CRM and call‑center software, as well as Microsoft Office Suite (Word, Excel, Outlook).
• Demonstrated ability to handle high‑volume inbound calls while maintaining a calm, professional demeanor.
• Passion for delivering outstanding customer service and a genuine desire to help members achieve their health‑care goals.
• Self‑motivated, detail‑oriented, and capable of working independently in a remote setting.

Preferred Qualifications

• 2–5 years of inbound call‑center experience, ideally in a health‑care or insurance environment.
• Experience with enrollment or claims processing systems, such as e‑claims, e‑enrollment, or member portal platforms.
• Knowledge of regulatory frameworks (HIPAA, ACA, COBRA) and compliance best practices.
• Previous experience working in a remote or distributed team, with proven time‑management and self‑discipline.
• Multilingual abilities (Spanish, French, or other languages) are a plus, enabling you to serve a diverse member base.
• Certification or coursework in customer service, health‑care administration, or related fields.

Key Skills & Competencies

• Customer‑First Mindset: A genuine commitment to understanding and meeting member needs.
• Problem‑Solving: Ability to diagnose issues quickly and propose effective solutions.
• Attention to Detail: Precision in data entry, transaction processing, and documentation.
• Adaptability: Comfortable navigating evolving policies, systems, and member expectations.
• Collaboration: Strong teamwork skills, with a willingness to share insights and support colleagues.
• Tech Savvy: Comfortable learning new software tools and staying current with industry technology trends.
• Time Management: Efficiently balancing multiple tasks while meeting deadlines.

Career Growth & Learning Opportunities

At brighthush, we believe that every team member’s growth fuels our collective success. As a Customer Service & Call Center Executive, you will have access to:

• Structured career pathways that can lead to roles such as Senior Enrollment Specialist, Team Lead, or Enrollment Operations Manager.
• Regular skill‑building workshops, including advanced enrollment techniques, regulatory updates, and customer experience design.
• Mentorship programs pairing you with seasoned professionals who can guide your career trajectory.
• Cross‑departmental projects that expose you to broader business functions—such as analytics, product development, and quality assurance.
• Opportunities to contribute to process improvement initiatives, giving you a tangible impact on the organization’s efficiency and member satisfaction.

Work Environment & Company Culture

brighthush champions a culture of inclusivity, transparency, and empowerment. As a remote employee, you will enjoy:

• Flexible work hours that accommodate your personal schedule while aligning with team needs.
• Regular virtual team huddles and social events that foster connection and camaraderie.
• A supportive manager who values your input and encourages continuous improvement.
• Access to a digital resource hub featuring training modules, knowledge bases, and best‑practice guides.
• A commitment to work‑life balance, with policies that respect personal time and mental well‑being.

Compensation, Perks, and Benefits

While specific salary figures are tailored to experience and qualifications, brighthush offers a competitive compensation package that includes:

• Base salary commensurate with industry standards for remote customer service and enrollment roles.
• Performance‑based bonuses tied to KPIs such as member satisfaction, transaction accuracy, and call resolution time.
• Comprehensive health, dental, and vision insurance plans (for eligible employees).
• 401(k) retirement plan with company match (for eligible employees).
• Paid time off, including vacation, sick leave, and holidays.
• Professional development stipend to support certifications, courses, or conferences.
• Access to a virtual wellness program featuring mindfulness sessions, fitness challenges, and mental health resources.

Remote Work & Training

This position is fully remote, open to candidates located in the United States. You will receive:

• A 3‑4 week virtual training program covering enrollment processes, system navigation, compliance, and customer service excellence.
• Ongoing coaching and feedback sessions to refine your skills and accelerate your growth.
• All necessary hardware and software support to ensure a productive home‑office setup.

H1B Sponsorship

brighthush has a history of sponsoring H1B visas for qualified talent. While sponsorship is not guaranteed for this specific role, we encourage international candidates to apply and discuss potential pathways during the interview process.

How to Apply

If you’re ready to make a meaningful impact on members’ lives while advancing your career in a dynamic, remote environment, we invite you to apply today. Click the link below to submit your application and join the brighthush family.