Customer Service Representative

Job Summary

Providing exceptional support to members and customers, the full-time remote Customer Service Representative II will manage complex inquiries, ensuring accurate and timely information is delivered while fostering strong relationships in accordance with compliance guidelines.

Key responsibilities:

• Handle diverse member inquiries related to eligibility, benefits, billing, and claims, ensuring effective resolution of complex issues
• Document all interactions and coordinate with relevant health plan personnel to address customer concerns and implement service recovery
• Support departmental goals by adhering to established procedures and maintaining compliance with organizational standards

Required qualifications:

• Minimum of 2.5 years of customer service experience, including 6 months as a Customer Service Representative I within a shared service environment
• High School Diploma or General Education Diploma (GED) is required
• Must pass a Classification Assessment and demonstrate a minimum typing speed of 30 WPM
• Strong knowledge of systems used within the Member Service Contact Center
• Ability to manage work independently with minimal direction while effectively interacting with diverse teams