Customer Service Representative

Job Summary

Acting as the primary point of contact for members and providers, the full-time remote Customer Service Representative will focus on delivering exceptional customer satisfaction by troubleshooting complex inquiries regarding coverage, benefits, and claims while ensuring first call resolution.

Key responsibilities

• Serve as the primary liaison for members and providers, addressing inquiries related to eligibility, authorizations, and claims
• Handle and resolve customer inquiries and complaints, utilizing available resources to provide accurate information
• Complete call logs documenting customer interactions and escalate priority issues as necessary

Required qualifications

• High School Diploma or Equivalent required; Associate's Degree in a related field preferred
• Prior call center experience is a plus
• Exceptional verbal and written communication skills
• Ability to multitask and prioritize effectively
• Demonstrated flexibility, adaptability, and a positive attitude