Customer Service Representative

Job Summary

Providing exceptional support in a remote environment, the full-time Customer Service Representative will manage member inquiries, ensure customer satisfaction, and resolve complex issues related to health plan services and benefits.

Key responsibilities:

• Handle inquiries regarding eligibility, benefits, billing, and service reviews while documenting all interactions
• Initiate contact with relevant health plan personnel to gather necessary information for complaint resolution
• Support compliance and maintain confidentiality while promoting extraordinary customer relations

Required qualifications:

• Minimum two years of customer service or member-interacting experience
• High School Diploma or General Education Development (GED) required
• Must pass a Classification Assessment and typing test (minimum 30 WPM)
• Ability to effectively interact with diverse work units and understand relevant policies
• Demonstrated analytical skills and ability to manage work with minimal direction