Customer Service Representative II

Job Summary

Providing exceptional support to members and customers, the full-time Customer Service Representative II will handle complex inquiries and issues remotely while ensuring customer satisfaction and compliance with organizational guidelines.

Key responsibilities:

• Manage and respond to member inquiries related to eligibility, benefits, billing, and claims
• Document and evaluate customer interactions to implement appropriate resolutions and service recovery
• Collaborate with various departments to obtain relevant information and support customer needs effectively

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 critical thinking skills