Customer Service Representative

Job Summary

Providing exceptional support to members and customers, the full-time Customer Service Representative will handle inquiries and issues related to health plan services, ensuring high levels of satisfaction and retention 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 escalate complex issues as necessary to maintain compliance and service quality
• Collaborate with internal departments to resolve customer concerns and enhance overall member experience

Required qualifications

• Minimum of two 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 or higher
• Demonstrated ability to understand and utilize relevant policies and procedures effectively
• Ability to manage work with minimal direction and complete required training successfully