Customer Service Representative

Job Summary

Providing exceptional support to members and customers, the full-time remote Customer Service Representative will manage inquiries related to eligibility, benefits, billing, and service reviews while ensuring compliance with organizational guidelines.

Key Responsibilities

• Respond to member inquiries and document all incoming contacts to resolve complex calls related to specialized product lines
• Initiate communication with relevant health plan personnel to gather necessary information for inquiries and complaints
• Evaluate data to implement appropriate actions for complaint resolution and service recovery while maintaining compliance with privacy standards

Required Qualifications

• Minimum two (2) years of customer service experience or KP member-interacting experience
• High School Diploma or General Education Development (GED) required
• Must pass Classification Assessment and knowledge checks during training
• Minimum typing speed of 30 WPM, with a current typing test
• Demonstrated analytical and problem-solving skills