Customer Service Representative II

Job Summary

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

Key responsibilities:

• Manage member inquiries related to eligibility, benefits, billing, and claims, ensuring accurate and timely responses
• Document and evaluate customer interactions to resolve complaints and coordinate service recovery effectively
• Collaborate with internal 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%
• Demonstrated analytical and problem-solving skills relevant to customer service
• Strong knowledge of systems used within the Member Service Contact Center