Customer Service Representative - CO

Job Summary

Providing essential support to members and customers, the full-time remote Customer Service Representative - CO will enhance customer satisfaction by addressing inquiries, resolving issues, and promoting services in compliance with organizational guidelines.

Key responsibilities:

• Handle member inquiries related to eligibility, benefits, billing, and general support while documenting all interactions
• Initiate contact with relevant Health Plan personnel to gather necessary information for resolving customer concerns
• Evaluate data to implement appropriate actions for complaint resolution and service recovery, ensuring compliance with performance guarantees

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 working knowledge of systems used within the MSCC
• Ability to effectively interact with diverse work units and organizational departments