Customer Service Representative

Job Summary

To enhance customer satisfaction and retention, the full-time Customer Service Representative will manage member inquiries and provide timely, accurate information regarding health plan services while working remotely in a day shift environment.

Key responsibilities:

• Handle member inquiries related to eligibility, benefits, billing, and service reviews while documenting all interactions
• Initiate contact with appropriate health plan personnel to resolve complex inquiries and complaints effectively
• Promote exceptional customer service by adhering to compliance guidelines and maintaining confidentiality of information

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