Customer Service Representative

Job Summary

Working remotely on a full-time basis, the Customer Service Representative 1 will engage with members and providers to resolve complex health insurance inquiries, ensuring accurate information delivery and maintaining high service standards.

Key Responsibilities

• Document and maintain records of customer interactions while ensuring compliance with company standards
• Provide detailed explanations regarding eligibility, policy benefits, and claims processes to enhance customer understanding
• Promote self-service tools to customers, optimizing their experience and encouraging efficient issue resolution

Required Qualifications

• High School Diploma or GED is required
• Minimum of one year customer service experience, preferably in healthcare
• Ability to work Monday through Friday from 12:30 PM to 9:00 PM EST
• Proficiency in basic computer skills and understanding of technology
• Exceptional attendance record required with no absences for the first 60 days of employment