Customer Service Representative II

Job Summary

Providing exceptional support to members and customers, the full-time remote Customer Service Representative II will manage complex inquiries, ensuring accurate and timely information while building rapport with clients in compliance with organizational guidelines.

Key responsibilities:

• Handle a variety of member inquiries including eligibility, billing, and claims, ensuring thorough documentation and follow-up
• Evaluate and resolve complaints by coordinating with relevant health plan personnel and implementing appropriate service recovery actions
• Maintain compliance with organizational policies while promoting extraordinary customer relations and quality service

Required qualifications:

• Minimum of 2.5 years of customer service experience, including 6 months as a Customer Service Representative I within a contact center
• High School Diploma or General Education Diploma (GED) required
• Ability to pass department-administered assessments and knowledge checks during training
• Strong knowledge of systems used within the Member Service Contact Center
• Demonstrated analytical skills and the ability to manage work with minimal direction