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 while building rapport with customers in Colorado.

Key responsibilities:

• Handle a variety of member inquiries related to eligibility, billing, and claims while documenting all interactions
• Evaluate data and implement appropriate actions to resolve complaints and coordinate service recovery
• Promote customer satisfaction by adhering to compliance guidelines and organizational standards of service

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