Health Insurance
Contact Center Services

Our remote agents manage inbound member calls related to claims and coverage. We support faster claims resolution through accurate member communication and documentation. Benefits include advanced risk and fraud management.

Common interactions include:

• Claim disputes and escalations
• Claim status and processing updates
• Coverage and benefit explanations
• Billing questions and payment issues

We handle common member requests that generate high call volumes, helping resolve issues quickly and reducing repeat calls to your internal teams.

This includes:

• Policy changes and renewals
• ID card requests and replacements
• Eligibility and enrollment questions
• Explaining plan options and effective dates

Medicare and Medicaid calls require additional care, accuracy, and regulatory awareness. Our teams are equipped to support members navigating government-sponsored plans.

We assist with:

• Medicare and Medicaid benefits questions
• Eligibility and plan understanding
• Provider and pharmacy network guidance
• Coordinating with internal teams or external partners

Insurance call volume fluctuates. Don’t let open enrollment or claims surges overwhelm your internal teams. Lighthouse scales quickly using remote agents trained for insurance environments.

We support:

• Overflow and after-hours calls
• Peak enrollment periods
• Multi-queue and specialty routing
• KPI-driven performance tracking