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 related to eligibility, billing, and claims while ensuring high levels of customer satisfaction and compliance with organizational guidelines.

Key responsibilities:

• Handle member inquiries across various service areas, including eligibility, billing, and claims
• Document interactions and coordinate with relevant departments to resolve customer issues
• Promote customer service excellence by adhering to compliance standards and organizational policies

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 think critically to solve problems