Customer Service Representative

Job Summary

Providing essential support to enhance customer satisfaction, the full-time remote Customer Service Representative will manage member inquiries, resolve complaints, and ensure compliance with organizational guidelines during evening shifts.

Key responsibilities:

• Handle member inquiries regarding eligibility, benefits, and billing while documenting all interactions
• Respond professionally to complex inquiries, coordinating with relevant health plan personnel as needed
• Evaluate data to determine appropriate actions for complaint resolution and service recovery

Required qualifications:

• Minimum of 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 typing test with a minimum speed of 30 WPM
• Ability to manage work with minimal direction and complete required training effectively
• Demonstrated understanding of relevant policies and processes related to customer service