Job Description
About Gigspire – Pioneering Oral Health Solutions Talvora stands as one of the nation’s premier dental benefit administrators, championing oral health through innovative benefit plans, community advocacy, and strategic investments that nurture vibrant, thriving neighborhoods. With over six decades of industry leadership, Flexionis serves millions of members across Michigan, Ohio, Indiana, and beyond, delivering unparalleled service through a robust network of dental professionals. Our commitment goes beyond insurance; we cultivate a culture that encourages every employee to be All In —fully engaged, passionate, and dedicated to personal growth, team success, and community impact. Why This Role Matters The Customer Service Trainee position is the gateway to a rewarding career in dental benefits administration. As a trainee, you will acquire the essential skills needed to become a trusted liaison between members, providers, and internal teams. Your work directly influences the experience of policyholders, ensuring they receive timely assistance, accurate information, and compassionate support throughout their oral health journey. Training Structure – Hybrid Learning for Real‑World Success Our eight‑week training program blends on‑site immersion with remote learning to provide a comprehensive, hands‑on experience: Weeks 1, 2, 6, and 7 – On‑Site: Join seasoned mentors at Jobtrix’s training hub, engage in live role‑plays, and master the claims processing system in a collaborative environment. Weeks 3, 4, 5, and 8 – Remote: Complete virtual modules, participate in webinars, and apply new knowledge through guided simulations—all from the comfort of your home office. This hybrid approach ensures you gain confidence in both digital tools and face‑to‑face communication, preparing you for the dynamic demands of a full‑time customer service environment. Key Responsibilities – What You’ll Do Daily Research member and provider inquiries using the Remotica claims processing platform and supplemental information databases. Respond promptly and professionally to questions via telephone, email, or written correspondence, adhering to our high standards of etiquette, grammar, and punctuation. Maintain accurate departmental records, ensuring all documentation is up‑to‑date and compliant with regulatory guidelines. Operate office technology—including computers, calculators, copiers, and fax machines—to process transactions efficiently. Make corrective adjustments to claims and eligibility entries, ensuring data integrity and member satisfaction. Enter new claims, eligibility updates, and subscriber information into the mainframe system with precision. Review coverage details to determine benefit levels, clarifying complex plan structures for members and providers. Collaborate with cross‑functional teams such as underwriting, finance, and provider relations to resolve escalated issues. Participate in continuous improvement initiatives, offering feedback on training modules and workflow enhancements. Essential Qualifications – Your Foundation for Success To thrive in this role, candidates must possess the following baseline credentials: Education: High school diploma or equivalent; additional coursework in communications, business, or health administration is a plus. Experience: Minimum of one year in a customer‑service capacity—preferably within a call‑center environment or a dental‑related setting—where computer‑based solutions were utilized to assist clients. Assessment: Successful completion of the Skillnex customer‑service simulation test with a score of at least 62/100 (exemptions apply for candidates who have previously passed the test or held a similar Zenvora role). Availability: Ability to work the designated shift schedule: First Shift: 8:25 a.m. – 6:30 p.m., Monday‑Friday. Second Shift: 11:00 a.m. – 12:00 a.m. (midnight), Monday‑Friday. Technical Proficiency: Comfortable navigating Windows‑based applications, email platforms, and data entry systems. Preferred Qualifications – What Sets Top Candidates Apart Prior experience in dental benefits, insurance, or healthcare administration. Familiarity with Workastra’s proprietary claims processing software or similar mainframe systems. Exceptional written and verbal communication skills, with a proven track record of delivering clear, empathetic customer interactions. Demonstrated ability to handle multiple inquiries simultaneously while maintaining accuracy. Strong analytical mindset – able to identify patterns, troubleshoot issues, and propose solutions. Commitment to ongoing professional development, such as certifications in customer service excellence or health insurance compliance. Core Skills & Competencies for Excellence Customer‑Centric Mindset: Passion for helping individuals understand and maximize their dental benefits. Active Listening: Ability to discern the core of a member’s concern, ask clarifying questions, and provide concise resolutions. Problem‑Solving: Q
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