Customer Service Representative

Job Summary

Providing exceptional support to members, the full-time remote Customer Service Representative will manage inquiries related to eligibility, benefits, billing, and service reviews while ensuring high levels of customer satisfaction and compliance with organizational guidelines.

Key responsibilities:

• Handle complex member inquiries and document all incoming contacts to determine their nature
• Initiate contact with relevant health plan personnel to obtain necessary information for resolving inquiries
• Evaluate data to implement appropriate actions for complaint resolution and service recovery

Required qualifications:

• Minimum of two (2) years of customer service experience or experience interacting with KP members
• 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 and problem-solving skills