Customer Service Representative

Job Summary

Providing high-level support to members and customers, the full-time remote Customer Service Representative will manage inquiries related to health plan services, billing, and member benefits while ensuring compliance and promoting customer satisfaction.

Key responsibilities:

• Handle member inquiries regarding eligibility, benefits, and billing issues while documenting all interactions
• Initiate contact with relevant personnel to obtain necessary information and resolve complex inquiries
• Support compliance with organizational standards and maintain the privacy and confidentiality of member information

Required qualifications:

• Minimum of two 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
• Familiarity with systems used within the Membership Service Contact Center (MSCC) is preferred