Customer Service Representative

Job Summary

Providing higher-level support for member inquiries, the full-time remote Customer Service Representative I will enhance customer satisfaction by delivering accurate information and resolving complex issues related to health plan services.

Key responsibilities:

• Handle inquiries regarding member services, eligibility, benefits, and billing issues while documenting all interactions
• Initiate contact with appropriate personnel to gather information relevant to customer concerns and implement service recovery as needed
• Support compliance with organizational guidelines and maintain privacy and confidentiality of member information

Required qualifications:

• Minimum 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 knowledge checks during training
• Typing speed of at least 30 WPM, with a current typing test
• Ability to effectively interact with diverse work units and understand relevant policies and processes