Customer Service Representative II

Job Summary

Providing exceptional support to members, the full-time remote Customer Service Representative II will manage complex inquiries related to health plan services, billing, and claims while ensuring high levels of customer satisfaction and compliance with organizational standards.

Key responsibilities:

• Handle member inquiries across various service areas, including eligibility, billing, and claims
• Document conversations and coordinate with relevant personnel to resolve customer issues effectively
• Promote compliance and maintain confidentiality while delivering extraordinary customer service

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 a Classification Assessment and knowledge checks during training
• Minimum typing speed of 30 WPM, with a current typing test
• Strong knowledge of systems used within the Member Service Contact Center (MSCC)