Customer Service Representative

Job Summary

Working remotely on a full-time hourly basis, the Customer Service Representative will review grievance and appeal documents, accurately classify disputes, and ensure compliance with client-specific guidelines while maintaining data privacy standards.

Key responsibilities

• Review and assess incoming grievance and appeal documents for completeness and relevance
• Accurately classify dispute types and assign the correct Line of Business based on guidelines
• Access and verify member information across multiple client systems and input data into internal platforms

Required qualifications

• Experience in data entry or a related field
• Familiarity with HIPAA regulations and data privacy standards
• Ability to work with multiple client systems and portals
• Strong attention to detail in document processing
• Capability to meet productivity and quality standards consistently