Customer Service Representative

Job Summary

A company is looking for a Customer First Representative in a national remote capacity.

Key Responsibilities

• Answer incoming calls from customers to assist with inquiries related to benefits, eligibility, billing, and claims
• Review and process healthcare claims, ensuring accurate application of benefits and compliance with policies
• Collaborate with members and providers to resolve issues, maintaining high standards of customer service

Required Qualifications

• High School Diploma / GED or 10+ years of equivalent experience
• Minimum of 1 year of customer service experience in an office or professional setting
• Ability to complete Customer Service training classes successfully
• Must be able to work Monday - Friday during specified business hours, with flexibility for overtime
• Must be 18 years of age or older