Customer Service Representative - CO

Job Summary

Providing exceptional support to members and customers, the full-time remote Customer Service Representative - CO will handle inquiries related to health plan services, billing, and member eligibility while ensuring high levels of customer satisfaction and compliance with organizational guidelines.

Key responsibilities:

• Manage member inquiries regarding eligibility, benefits, and billing while documenting all interactions accurately
• Initiate contact with relevant health plan personnel to gather necessary information for resolving customer concerns
• Evaluate and implement appropriate actions to address complaints and enhance member service recovery efforts

Required qualifications:

• Minimum two (2) years of customer service experience or experience interacting with KP members
• High School Diploma or General Education Development (GED) required
• Ability to pass required testing, including Contact Center Simulation and typing tests
• Demonstrated analytical skills and ability to think critically
• Familiarity with systems used within the Member Service Contact Center (MSCC) is preferred