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 and issues, ensuring accurate and timely information while building rapport with clients in compliance with organizational guidelines.

Key responsibilities:

• Handle member inquiries across various service areas, including eligibility, billing, and claims
• Document and evaluate customer interactions to resolve complaints and coordinate service recovery
• Promote compliance and maintain confidentiality while delivering high-quality customer service

Required qualifications:

• Minimum of 2.5 years of customer service experience, including 6 months as a Customer Service Representative I
• High School Diploma or General Education Diploma (GED) required
• Must pass a department-administered Tier II Assessment with a minimum score of 70%
• Strong knowledge of systems used within the Member Service Contact Center
• Ability to manage work independently with minimal direction