Customer Service Representative II

Job Summary

Providing exceptional support to members, the full-time remote Customer Service Representative II will handle complex inquiries related to eligibility, billing, and claims while fostering positive relationships with customers in accordance with compliance guidelines.

Key responsibilities:

• Manage member inquiries across various service areas, including eligibility, benefits, and billing
• Document interactions and coordinate with relevant personnel to resolve customer issues effectively
• Support compliance and organizational standards by maintaining confidentiality and adhering to 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%
• Strong knowledge of systems used within the Member Service Contact Center
• Ability to manage work with minimal direction and demonstrate critical thinking skills