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 health plan services, ensuring accurate and timely information while fostering strong relationships in compliance with organizational guidelines.

Key responsibilities:

• Handle member inquiries across various service areas, including eligibility, billing, and claims
• Document interactions and coordinate responses to complex customer concerns with relevant departments
• Promote compliance with organizational policies while maintaining customer satisfaction and retention

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 independently with minimal direction