Customer Service Representative - CO

Job Summary

To enhance customer satisfaction and retention, the full-time remote Customer Service Representative - CO will provide accurate and timely support to members and customers regarding inquiries related to health plan services, billing, and eligibility while building rapport and maintaining compliance with organizational guidelines.

Key responsibilities:

• Handle member inquiries across various service categories, including eligibility, billing, and complaints
• Document all incoming contacts and resolve complex calls related to specialized product lines
• Initiate communication with relevant health plan personnel to gather necessary information for inquiries

Required qualifications:

• Minimum two (2) years of customer service experience or KP member-interacting experience
• High School Diploma or General Education Development (GED) required
• Ability to pass required testing, including contact center simulation and typing tests
• Demonstrated analytical and problem-solving skills
• Working knowledge of systems used within the Member Service Contact Center (MSCC)