Customer Service Representative

Job Summary

Working remotely, the full-time Customer Service Representative will manage inbound service inquiries related to claims, enrollment, billing, and pharmacy, ensuring exceptional service satisfaction and effective service recovery processes.

Key responsibilities

• Resolve member inquiries regarding claims, enrollment, billing, and pharmacy services
• Utilize service recovery processes to assist members in complex situations
• Participate in ongoing training and development to enhance health plan and claims knowledge

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 environment
• Experience in identifying process improvements and providing peer feedback
• Strong multitasking and time management skills