MagnaCare is seeking detail-oriented and empathetic Las Vegas–based Customer Service Representatives to provide telephonic support to members, physicians, hospitals, revenue agencies, and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations, and appeals.
Primary Responsibilities
Provide timely and professional support to members and providers regarding benefits, eligibility, claims, and appeals.
Handle customer service inquiries via the contact center phones, email, and chat, depending on business needs.
Handle escalated customer concerns and complaints.
Assist with claims processing.
Collaborate with the Benefits Enrollment team to resolve eligibility, hours, and co-premium inquiries, proactively following up with members as needed.
Actively listen to customer concerns, demonstrating empathy and offering effective solutions.
Analyze and resolve non-standard and complex issues using critical thinking and problem-solving skills.
Maintain a strong understanding of client products, services, and policies to provide accurate and informed assistance.
Document all interactions and resolutions accurately in the system to ensure seamless customer service.
Adhere to regulatory requirements, company policies, and confidentiality guidelines when handling member information.
Essential Qualifications
Prior customer service experience serving Labor unions preferred.
Prior customer service experience in a high-volume call center is required, preferably in healthcare, insurance, or a related field.
Experience required with claims inquiry and claims review procedures, knowledge of medical specialties, fee schedules, complaints and appeals, and call center responsibilities.
Strong communication skills, with the ability to explain complex information in a clear and empathetic manner.
Ability to manage multiple inquiries while maintaining attention to detail and accuracy.
Problem-solving skills and the ability to navigate complex eligibility and claims issues.
Effective communication through various channels, including email, chat, and voice.
Salesforce experience preferred.
Bilingual Spanish preferred.
Intermediate proficiency in Microsoft Office (Word, Excel, Outlook).
At MagnaCare LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect, and increasing diversity, inclusion, and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all your unique abilities.
For more than 30 years, MagnaCare LLC has been a trusted partner in delivering flexible, customized solutions for self-insured organizations. As a national third-party administrator (TPA), we combine proprietary technology, network expertise, and a deep understanding of labor to help our clients achieve their goals while supporting the people they serve.
Our focus on labor means we work closely with funds, Taft-Hartley Trusts, and other self-insured groups to deliver tailored solutions that go beyond the basics. From health plan administration and eligibility management to contribution accounting, we provide the tools and support organizations need to succeed. With specialized offerings such as flexible network administration, direct contracting, in-house medical and care management, and workers’ compensation programs, we create benefit plans that address unique needs with precision.
