Customer Service Representative I

Job Summary

Providing high-level customer service, the full-time Customer Service Representative I will assist in resolving customer concerns, manage a complex caseload, and maintain relationships with members and providers while working remotely from home.

Key responsibilities

• Guides customer service representatives in resolving complex issues
• Acts as a liaison between members and providers to address claims, benefits, and eligibility concerns
• Investigates and resolves member and provider inquiries while maintaining strong relationships through various communication channels

Required qualifications

• High School Diploma or Equivalent (GED) is required
• Minimum of 1 year of customer service experience is required
• Proficiency in two or more specialties for any one line of business is preferred
• Ability to work in a quiet, dedicated workspace with a high-speed internet connection
• Strong organizational skills to manage and distribute work effectively