Customer Service Representative

Job Summary

To enhance customer satisfaction and retention, the full-time Customer Service Representative will provide accurate and timely information to members, customers, patients, and providers while handling inquiries and issues remotely.

Key responsibilities:

• Manage member inquiries related to eligibility, benefits, billing, and complaints while documenting all incoming contacts
• Evaluate data to implement appropriate actions for resolving complaints and coordinating service recovery
• Promote customer service excellence by adhering to compliance guidelines and maintaining privacy and confidentiality

Required qualifications:

• Minimum two (2) years of customer service experience required
• High School Diploma or General Education Development (GED) required
• Must pass Classification Assessment
• Minimum typing speed of 30 WPM (typing test must be current within one year)
• Demonstrated analytical and problem-solving skills