Customer Service Representative

Job Summary

Working remotely on a full-time basis, the Customer Service Representative II will enhance customer satisfaction and retention by addressing complex inquiries and providing accurate information to members, patients, and providers during evening shifts.

Key responsibilities:

• Handle member inquiries related to eligibility, benefits, billing, and claims, ensuring timely and accurate responses
• Document all incoming contacts and conversations according to established procedures, coordinating with relevant personnel as needed
• Evaluate data to resolve complaints and implement service recovery strategies while maintaining 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
• Typing speed of at least 30 WPM, with a current typing test
• Strong knowledge of systems used within the Member Service Contact Center