Customer Service Representative II

Job Summary

Providing exceptional support to members and customers, the full-time Customer Service Representative II will manage complex inquiries and issues remotely, ensuring accurate and timely information while enhancing customer satisfaction and retention.

Key responsibilities:

• Handle member inquiries across various topics, including eligibility, billing, and claims, while documenting all interactions
• Initiate contact with relevant health plan and facility personnel to resolve customer concerns and complaints
• Promote compliance with organizational policies and maintain confidentiality of member information

Required qualifications:

• Minimum of 2.5 years of customer service experience, including 6 months as a Customer Service Representative I in a shared service environment
• High School Diploma or General Education Diploma (GED) required
• Must pass a Classification Assessment and maintain a typing speed of 30 WPM
• Demonstrated analytical and problem-solving skills
• Strong knowledge of systems used within the Member Service Contact Center