Commercial Health Call Center Representative

Job Summary

A company is looking for a Commercial Health Call Center Representative to support its growth in customer service.

Key Responsibilities

• Research, review, and respond to inquiries from members and providers
• Handle escalations and manage member complaints effectively
• Document calls accurately and maintain established production and quality standards

Required Qualifications

• At least 2 years of customer service experience supporting a commercial health plan
• Knowledge of medical and insurance industry terminology
• Experience collaborating with operational units such as Claims and Medical Management
• Proficiency in Microsoft Office applications
• Must reside in the CST or EST time zones