Customer Service Representative

Job Summary

A company is looking for a Customer Service Representative who will act as the primary point of contact for members and providers.

Key Responsibilities

• Serve as the primary liaison for members and providers regarding inquiries related to eligibility, authorizations, claims, and policy procedures
• Handle and resolve customer inquiries and complaints, ensuring first call resolution and customer satisfaction
• Complete call logs to document customer interactions and escalate priority issues as necessary

Required Qualifications

• High School Diploma or Equivalent required
• Associate's Degree in a related field or Healthcare Management preferred
• Call Center experience is a plus
• Ability to multitask and prioritize effectively
• Flexibility, adaptability, and a positive attitude are essential