Customer Service Representative II

Job Summary

To enhance customer satisfaction and retention, the full-time Customer Service Representative II will provide accurate and timely support for complex inquiries from members and providers while working remotely from Colorado.

Key responsibilities:

• Manage member inquiries related to eligibility, benefits, billing, and claims, ensuring accurate documentation and resolution of issues
• Evaluate data and implement appropriate actions to address complaints and coordinate service recovery
• Collaborate effectively with diverse teams and maintain compliance with organizational policies and procedures

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 excellent written and verbal communication skills