Customer Service Representative

Job Summary

A company is looking for a Customer Service Representative to work remotely.

Key Responsibilities

• Answer questions and resolve issues from members, providers, and plan sponsors
• Document and track contacts while guiding members through their benefits and policies
• Process claims, referrals, and handle appeals while educating providers on self-service options

Required Qualifications

• High School diploma or GED equivalent
• Experience in customer service within a transaction-based environment
• Experience in a production environment
• Preferred experience in healthcare insurance and call center settings
• Ability to build trusting relationships with members