Customer Service Representative II

Job Summary

To enhance customer satisfaction and retention, the full-time remote Customer Service Representative II will manage complex inquiries and issues from members, customers, and providers while building collaborative relationships in compliance with organizational guidelines.

Key responsibilities:

• Handle member inquiries across various services, including eligibility, billing, and claims
• Document conversations and coordinate with internal departments to resolve customer concerns
• Support compliance with organizational policies and maintain the privacy of member information

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 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 with minimal direction and demonstrate analytical skills