Customer Service Representative

Job Summary

Working remotely, the full-time Customer Service Representative will manage inbound service inquiries related to claims, enrollment, billing, and benefits, ensuring exceptional service satisfaction without any cold calling.

Key responsibilities

• Resolve service inquiries for claims, enrollment, billing, and pharmacy through inbound calls
• Utilize the service recovery process to assist members in complex situations
• Participate in ongoing training and development to enhance knowledge of health plan and claims processes

Required qualifications

• High School Diploma, GED, or equivalent work experience
• At least 2 years of customer service experience, preferably in a healthcare setting
• Ability to learn quickly and adapt to a rapidly changing operational environment
• Strong multitasking and time management skills
• Experience in identifying process improvements and providing peer feedback