Customer Care Representative

Job Summary

Providing exceptional service remotely, the full-time Customer Care Representative will assist members, brokers, and providers with inquiries related to benefits, eligibility, and claims, ensuring high levels of customer satisfaction.

Key responsibilities

• Serve as the first point of contact for inquiries regarding health plan benefits, eligibility, and claims
• Resolve service requests and complaints efficiently while documenting all interactions for quality assurance
• Collaborate with internal teams to address complex inquiries and maintain adherence to regulatory guidelines

Required qualifications

• High School Diploma or GED or equivalent experience
• One or more years of customer service experience in a healthcare call center environment
• Proficiency in Microsoft Office Suite and website navigation
• Ability to adhere to a structured work schedule based around the central time zone
• Demonstrated problem-solving skills with the ability to handle difficult situations with empathy