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 satisfaction and compliance while working remotely during evening shifts.

Key responsibilities:

• Manage member inquiries regarding eligibility, benefits, billing, and complaints while documenting all interactions
• Initiate contact with relevant health plan personnel to resolve complex inquiries and promote customer satisfaction
• Support compliance with organizational policies and maintain member confidentiality while achieving performance metrics

Required qualifications:

• Minimum two years of customer service experience or relevant member-interacting experience
• High School Diploma or General Education Development (GED) required
• Must pass a Classification Assessment and have a typing speed of at least 30 WPM
• Demonstrated ability to effectively interact with diverse work units and organizational departments
• Familiarity with systems used within the Membership Service Contact Center (MSCC) is preferred