Customer Service Representative

Job Summary

Providing exceptional support to members, the full-time Customer Service Representative will handle inquiries and issues related to health plan services, ensuring customer satisfaction while working remotely during evening shifts.

Key responsibilities:

• Manage member inquiries regarding eligibility, benefits, billing, and complaints, ensuring accurate and timely responses
• Document all incoming contacts and coordinate with relevant departments to resolve complex issues effectively
• Support compliance with organizational policies and maintain the confidentiality of member information

Required qualifications:

• Minimum two (2) years of customer service experience or experience interacting with members
• High School Diploma or General Education Development (GED) required
• Must pass a Classification Assessment and maintain a typing speed of 30 WPM
• Demonstrated analytical skills and ability to think critically
• Familiarity with systems used within the Membership Service Contact Center (MSCC) preferred