Customer Service Representative - Enrollment

Job Summary

Working remotely full-time, the Customer Service Representative - Enrollment will assist in resolving customer concerns, provide education and instruction, and maintain customer satisfaction related to enrollment processes.

Key responsibilities

• Resolve and reconcile enrollment reports and eligibility issues in accordance with policies and state guidelines
• Initiate communication with newly enrolled members, dependents, and employer groups, and prepare necessary documentation
• Research and address claims issues, providing support to member and provider services staff regarding claims resolution

Required qualifications

• High School Diploma or Equivalent (GED) required
• Minimum of 1 year of customer service experience required
• Ability to interpret and apply rules and regulations related to enrollment and eligibility
• Experience with membership data management and reporting
• Reliable high-speed internet connection and a dedicated workspace at home