Customer Service Representative

Job Summary

Dedicated to providing exceptional customer service, the full-time Customer Service Representative will manage inbound and outbound communications via phone, email, and chat, addressing inquiries related to claims and insurance coverage while ensuring compliance with healthcare regulations in a remote setting.

Key responsibilities

• Engage with providers and members through various communication channels, addressing inquiries with empathy and accuracy
• Document all interactions and feedback accurately in the CRM or case management system to support process improvement
• Collaborate with team members to maintain a positive work environment and ensure effective issue resolution

Required qualifications

• High school diploma or GED required
• 1-2 years of experience in customer service, preferably in healthcare
• Strong organizational skills with the ability to multitask and navigate multiple systems
• Demonstrated ability to actively listen and respond to concerns with empathy and clarity