Customer Service Representative

Job Summary

Providing exceptional support in a remote environment, the full-time Customer Service Representative will enhance customer satisfaction by managing inquiries, resolving issues, and building rapport with members, customers, and providers during evening shifts.

Key responsibilities:

• Handle member inquiries related to eligibility, benefits, billing, and complaints while documenting all interactions
• Initiate contact with relevant health plan personnel to gather necessary information for resolving customer concerns
• Support compliance with organizational policies and maintain confidentiality while striving to meet performance guarantees

Required qualifications:

• Minimum two (2) years of customer service or member-interacting experience
• High School Diploma or General Education Development (GED) required
• Must pass a Classification Assessment and maintain a typing speed of 30 WPM
• Ability to effectively interact with diverse work units and understand relevant policies and processes
• Demonstrated analytical and problem-solving skills