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 health plan services, ensuring high levels of customer satisfaction and retention.

Key responsibilities:

• Handle a variety of member inquiries, including eligibility, billing, and claims, while documenting all interactions accurately
• Initiate contact with relevant health plan personnel to gather necessary information for resolving customer concerns
• Evaluate data to implement appropriate actions for service recovery and maintain compliance with organizational standards

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 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