Customer Service Representative

Job Summary

Providing exceptional support to members and customers, the full-time remote Customer Service Representative will manage inquiries related to health plan services, ensuring accurate information and fostering positive relationships while adhering to compliance guidelines.

Key responsibilities:

• Handle member inquiries regarding eligibility, benefits, billing, and complaints, ensuring timely and accurate responses
• Document all interactions with members and coordinate with relevant departments to resolve complex issues
• Support compliance with organizational policies and maintain 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 typing test with a minimum speed of 30 WPM
• Ability to effectively interact with diverse work units and understand relevant policies and processes
• Demonstrated analytical skills and ability to manage work with minimal direction