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 and issues related to healthcare services while ensuring compliance and enhancing customer satisfaction.

Key responsibilities

• Handle member inquiries across various topics, including eligibility, billing, and claims, while documenting all interactions
• Collaborate with internal and external personnel to resolve issues and provide timely information to customers
• Promote customer service excellence by adhering to organizational policies and maintaining confidentiality of information

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