MagnaCare is seeking detail-oriented and empathetic Las Vegas–based Customer Service Specialists to provide in-person support to members and telephonic support to members, physicians, hospitals, and other healthcare providers. This role requires assisting customers with member benefits, eligibility, claims inquiry, claim reconsiderations, and appeals at our on-site facility.
Primary Responsibilities
Provide timely and professional in-person support to members and providers regarding benefits, eligibility, claims, and appeals.
Handle escalated customer concerns and complaints.
Help customers with problems and questions regarding claims.
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.
Handle customer service inquiries via the contact center phones, email, and chat, depending on business needs.
Receive and handle premiums and other monetary payments.
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.
Move between phone and front desk support as required by daily departmental needs.
Be able to lift a maximum of 25 lb.
Adhere to regulatory requirements, company policies, and confidentiality guidelines when handling member information.
Essential Qualifications
Prior customer service experience serving unions preferred.
Prior customer service experience required in a high-volume call center, preferably in healthcare, insurance, or a related field.
Experience in a walk-in service center or similar environment providing in-person support.
Comfortable handling and processing payments.
Experience 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.
