WPS Health Solutions is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small to large businesses. We process claims and provide customer service support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. In 2021, WPS Health Solutions celebrates 75 years of making health insurance easier for those we serve. Proud to be military and veteran ready.
Our Culture
WPS' Performance-Based Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive, empowering employee experience, focusing on People, Work, and Conditions. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are guided by our Purpose: Together, making health care easier for the people we serve.
In 2021, WPS Health Solutions was recognized for several awards including:
Answer inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems.
Receive telephone, written, fax, and e-mail inquiries concerning TRICARE eligibility, benefits determinations, and claims adjudication questions or billing problems.
Submit claims for adjudication, correction, payment, or review as appropriate
Research and provide final resolution to inquiries within contractual requirements.
Respond to inquirer using various forms of communication (written letter, telephone, web, or email) within time frames to exceed contractual standards
How do I know this opportunity is right for me? If you:
Enjoy conversing with customers over the phone
Have the ability to learn medical and insurance terminology
Thrive in a fast paced work environment
What will I gain from this role?
Gaining experience working in a call center environment
Working in an environment that serves our Nation's military, veterans, Guard and Reserves along with their families.
Minimum Qualifications
COVID-19 vaccination or WPS approval for an accommodation.
S. citizenship is required for this position due to Department of Defense restrictions.
High School Diploma or Equivalent
Preferred Qualifications
Ability to learn medical and insurance terminology
Microsoft Office Experience
Ability to navigate dual monitor screens
Recent Military and Veterans Health claims processing with knowledge of TRICARE benefits and guidelines, system applications, medical terminology, and procedure codes
Additional Information
Start Dates: Monday, January 10th, 2022
Training Schedule: First 5 weeks Monday-Friday 8:00am-4:35pm CST
Scheduled Shift: Shift Starting between 7:00am-9:30am CST Monday-Friday
Work from Home: This is a 100% remote opportunity for all approved remote worker states. This is a non-exempt, non-bargaining unit position
Next steps
After submitting your application, we will send you an online assessment. We recommend you try and complete it within two business days. You must complete and obtain a passing score on the assessment to be considered for the position.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
