Colorado Customer Service Representative II

Job Summary

To enhance customer satisfaction and retention, the full-time Colorado Customer Service Representative II will manage complex inquiries and issues from members, customers, patients, and providers while working remotely from home within Colorado.

Key responsibilities:

• Handle member inquiries related to eligibility, benefits, billing, and claims, ensuring accurate and timely responses
• Document conversations and coordinate with relevant health plan personnel to resolve customer concerns effectively
• Support compliance with organizational policies and procedures while promoting exceptional customer service standards

Required qualifications:

• Minimum of 2.5 years of customer service experience, including 6 months as a Customer Service Representative I in a shared service environment
• High School Diploma or General Education Diploma (GED) required
• Must pass department-administered Tier II Assessment with a minimum score of 70% and knowledge checks during training
• Strong familiarity with systems used within the Member Service Contact Center
• Ability to manage work independently with minimal direction