Seasoned TPV Customer Service Representative – Independent Enrollment Verification Specialist for Medicare Advantage & Part D at brighthush – Ensuring Compliance & Consumer Protection

About brighthush

brighthush is a pioneering health‑insurance distribution platform that empowers independent agents and their clients to navigate the complex world of Medicare Advantage, Part D, and the ACA Marketplace with confidence and clarity. By harnessing cutting‑edge insurtech solutions, brighthush delivers a seamless, data‑driven experience that places people’s health, wealth, and peace of mind at the forefront. Our mission is simple: help Americans protect their future so they can focus on the good days ahead.

With a culture rooted in collaboration, integrity, and continuous learning, brighthush is rapidly expanding across the United States. We are committed to hiring talented, customer‑centric professionals who thrive in a fast‑paced, high‑impact environment. If you are passionate about making a difference in people’s lives and eager to grow your career in a hyper‑growth company, brighthush is the place for you.

Position Overview

As a TPV (Third‑Party Verification) Customer Service Representative, you will serve as the independent checkpoint between a sales conversation and a submitted enrollment. Your primary responsibility is to verify that each consumer fully understands the plan they have selected, intends to enroll, and gives informed, voluntary consent before the application proceeds. This is a non‑sales role; you will not sell, recommend, compare, or enroll consumers in any Medicare Advantage, Part D, or other health‑insurance products. Instead, you will work independently from the licensed agents whose enrollments you verify, ensuring compliance, accuracy, and consumer protection at every step.

Key Responsibilities

• Conduct recorded verification calls with consumers, following approved TPV scripts word for word.
• Verify consumer identity and required demographic and eligibility details before proceeding.
• Confirm the consumer’s understanding of the selected plan, effective date, and key plan elements as scripted.
• Obtain and document the consumer’s clear, voluntary consent to enroll.
• Stop or fail a verification when a consumer is confused, hesitant, did not request the plan, or reports pressure or misleading statements.
• Escalate suspected agent misconduct, consumer complaints, and potential fraud to Compliance on the same day.
• Accurately record call outcomes, reason codes, and notes in the verification system.
• Protect consumer PHI and PII in line with HIPAA and brighthush privacy policies.
• Meet quality, accuracy, and productivity targets set by the TPV Supervisor.
• Participate in call calibration, quality reviews, and coaching sessions.
• Remain coachable, open‑minded, and receptive to constructive feedback to continuously improve performance.

Essential Qualifications

• Minimum of 1 year of call center or customer service experience.
• Typing speed of at least 35 words per minute with high accuracy.
• Ability to read scripts verbatim in a clear, professional, and patient manner.

Preferred Qualifications

• Prior TPV, quality assurance, or compliance call experience.
• Experience in a Medicare, health‑insurance, or healthcare call center.
• Familiarity with Medicare Advantage, Part D, or ACA Marketplace terminology.
• Bilingual proficiency in English and Spanish.
• Experience with CRM, dialer, and call‑recording platforms.

Core Skills & Competencies

• Exceptional verbal communication and active listening skills.
• Strong attention to detail and commitment to data accuracy.
• High level of empathy and customer‑centric mindset.
• Ability to remain calm and professional under pressure.
• Proficiency with Microsoft Office Suite, CRM systems, and call‑center technology.
• Knowledge of HIPAA regulations and data‑privacy best practices.
• Self‑motivated with a strong work ethic and a desire to learn.

Career Growth & Learning Opportunities

At brighthush, we believe in investing in our people. As a TPV Customer Service Representative, you will:

• Gain in‑depth knowledge of Medicare products, enrollment processes, and regulatory compliance.
• Develop advanced call‑center skills, including quality assurance, coaching, and performance analytics.
• Participate in continuous learning programs, webinars, and industry conferences.
• Advance into supervisory or compliance roles as you demonstrate leadership and expertise.
• Benefit from a clear career ladder with transparent performance metrics and promotion criteria.

Work Environment & Company Culture

brighthush fosters a collaborative, inclusive, and high‑energy workplace where every team member’s voice matters. Our culture is built on:

• Integrity & Transparency: Open communication, ethical practices, and a commitment to doing the right thing for our consumers.
• Innovation & Technology: Cutting‑edge tools and data analytics that empower you to deliver exceptional service.
• Team Spirit: Cross‑functional collaboration, peer support, and shared success celebrations.
• Work‑Life Balance: Flexible scheduling options, remote work opportunities, and wellness programs.
• Recognition & Rewards: Performance bonuses, employee of the month, and public acknowledgment of achievements.

Compensation & Benefits

While specific figures may vary based on experience and location, brighthush offers a competitive compensation package that includes:

• Base salary with performance‑based incentives.
• Health, dental, and vision insurance for you and your family.
• 401(k) retirement plan with company match.
• Paid time off, holidays, and sick leave.
• Employee assistance programs, mental‑health resources, and wellness stipends.
• Professional development budget and tuition reimbursement.
• Employee discounts on brighthush products and partner services.

Why Join brighthush?

At brighthush, you will:

• Make a tangible impact on people’s health and financial security.
• Work in a fast‑moving, data‑driven environment that rewards innovation.
• Collaborate with a diverse, talented team that values your growth.
• Enjoy a supportive culture that celebrates hard work and fosters continuous improvement.
• Benefit from a comprehensive benefits package that prioritizes your well‑being.

Ready to Make a Difference?

If you are a dedicated, detail‑oriented professional with a passion for customer service and compliance, we invite you to apply for the TPV Customer Service Representative role at brighthush. Join us in shaping the future of health‑insurance distribution and empowering consumers to make informed decisions about their care.

Click the link below to submit your application and take the first step toward a rewarding career with brighthush.