Customer Service Representative I - Claims, Geisinger Health Plan (Pennsylvania resident)
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Before you apply
LocationWork from Home
Also inWork from home (Pennsylvania)
Work moderemote · United States
Typefull-time
SeniorityEntry
Experience1+ yrs
Company size10,000+ people
PostedOct 28, 2026 · 1w ago
Verified live1d ago
Reposted once in the last 6 monthsEarliest listing first seen Oct 8, 2026
How we check a job is still liveAt a glanceSummarised by Seekless from the posting.
High School Diploma or Equivalent (GED)
Minimum of 1 year Customer Service
Communication
Customer Retentions
Customer Service
Benefits
Health insurance
Vision insurance
Dental insurance
Location:
Work from home (Pennsylvania)
Shift:
Days (United States of America)
Scheduled Weekly Hours:
40
Worker Type:
Regular
Exemption Status:
No
Job Summary:
Assists in resolving customer concerns, providing appropriate education/instruction and maintaining customer satisfaction by providing the highest level of customer service in only one of the Primary Functions. Actively participates in cross training, improving processes within the Customer Service team.
Job Duties:
•
Determines if services received are covered benefits as applicable by line of business and product design.
•
Reviews suspended claims for resolution by applying current policies, procedures and benefits applicable to specific products.
•
Provides team building resources to assist in directing peers to proper claims resolution policies and procedures in order to assist members and providers.
•
Provides daily support and advice to member and provider services staff regarding claims issues.
•
Researches claim issues from participating providers and identifies specific criteria for reconsideration for payment.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Position Details:
Education:
High School Diploma or Equivalent (GED)- (Required)
Experience:
Minimum of 1 year-Customer Service (Required)
Certification(s) and License(s):
Skills:
Communication, Customer Retentions, Customer Service
About the company
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.
•
KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
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EXCELLENCE: We treasure colleagues who humbly strive for excellence.
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LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
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INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
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SAFETY: We provide a safe environment for our patients and members and the Geisinger family.
Benefits
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.
Legal
Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.
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