Customer Service Representative II

Job Summary

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

Key responsibilities:

• Handle member inquiries related to eligibility, benefits, billing, and claims, ensuring a high level of customer satisfaction
• Document all interactions and coordinate with relevant departments to resolve complaints and service requests effectively
• Maintain compliance with organizational policies and performance metrics, contributing to overall department goals

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