Customer Service Representative

Job Summary

To enhance customer satisfaction and retention, the full-time remote Customer Service Representative will provide accurate and timely support to members, customers, patients, and providers, addressing inquiries and issues related to various services and benefits.

Key responsibilities:

• Handle member inquiries regarding eligibility, benefits, billing, and service reviews while documenting all interactions
• Respond professionally to complex calls and collaborate with internal departments to resolve customer concerns
• Support compliance with organizational guidelines and maintain privacy and 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 knowledge checks during training
• Minimum typing speed of 30 WPM, with a current typing test
• Demonstrated understanding of relevant policies and processes