Customer Service Representative II

Job Summary

To enhance customer satisfaction and retention, the full-time remote Customer Service Representative II will manage complex inquiries and issues from members, customers, patients, and providers, ensuring accurate and timely information delivery while building collaborative relationships.

Key responsibilities:

• Handle member inquiries related to eligibility, benefits, billing, and claims, providing support and resolving complaints
• Document all incoming contacts and follow established procedures to meet customer needs effectively
• Collaborate with internal and external stakeholders to obtain relevant information and coordinate service recovery as needed

Required qualifications:

• Minimum of 2.5 years of customer service experience, including 6 months as a Customer Service Representative I within the Member Service Contact Center
• High School Diploma or General Education Diploma (GED) required
• Must pass Classification Assessment and knowledge checks during training
• Typing speed of at least 30 WPM, with a current typing test
• Strong knowledge of systems used within the Member Service Contact Center