Customer Service Representative

Job Summary

Providing exceptional support to members, the full-time Customer Service Representative will handle inquiries and issues related to health plan services, ensuring customer 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 follow established procedures to resolve issues and coordinate service recovery
• Collaborate with internal and external teams to obtain necessary information and maintain compliance with organizational standards

Required qualifications:

• Minimum two (2) 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 possess a minimum typing speed of 30 WPM
• Ability to effectively utilize systems within the Membership Service Contact Center
• Must pass knowledge checks during training and demonstrate strong analytical skills