Customer Service Representative

Job Summary

Providing higher-level support to members and customers, the full-time remote Customer Service Representative will handle inquiries related to eligibility, benefits, and billing while ensuring customer satisfaction and compliance with organizational guidelines.

Key responsibilities:

• Manage member inquiries across various service lines, including eligibility and billing issues
• Document and respond to complex calls while promoting exceptional customer relations
• Coordinate with health plan personnel to resolve concerns and implement service recovery actions

Required qualifications:

• Minimum two (2) years of customer service or KP member-interacting experience
• High School Diploma or General Education Development (GED) required
• Must pass Classification Assessment and typing test (minimum 30 WPM)
• Demonstrated analytical skills and ability to manage work with minimal direction
• Working knowledge of systems used within the Membership Service Contact Center (MSCC)