Customer Service Representative

Job Summary

Providing support to members with complex inquiries, the full-time remote Customer Service Representative will enhance customer satisfaction by delivering accurate information and resolving issues related to health plan services and billing.

Key responsibilities:

• Handle member inquiries across various service areas, including eligibility, billing, and claims
• Document all incoming contacts and evaluate data to implement appropriate resolutions for customer complaints
• Collaborate with internal departments to obtain relevant information and ensure compliance with organizational policies

Required qualifications:

• Minimum of 2.5 years of customer service experience, including 6 months as a Customer Service Representative I
• High School Diploma or General Education Diploma (GED) required
• Must pass a Classification Assessment and knowledge checks during training
• Minimum typing speed of 30 WPM, with a current typing test
• Strong knowledge of systems used within the Member Service Contact Center