Customer Service Representative

Job Summary

Providing exceptional support to members and customers, the full-time Customer Service Representative will manage inquiries and issues related to health plan services, ensuring satisfaction and retention while working remotely during evening shifts.

Key responsibilities

• Handle member inquiries regarding eligibility, benefits, billing, and complaints while documenting all interactions
• Initiate contact with relevant health plan personnel to obtain necessary information for resolving customer concerns
• Support compliance with organizational policies and maintain confidentiality of member information

Required qualifications

• Minimum two (2) years of customer service experience or experience interacting with members required
• High School Diploma or General Education Development (GED) required
• Must pass Classification Assessment and knowledge checks during training
• Minimum typing speed of 30 WPM (typing test must be current within one year)
• Demonstrated analytical skills and ability to manage work with minimal direction