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, resolve issues related to health plan services, and ensure compliance with organizational guidelines.

Key responsibilities:

• Handle member inquiries across various service lines, including eligibility, billing, and claims
• Document interactions and coordinate with relevant departments to resolve customer concerns
• Promote customer satisfaction by delivering timely and accurate information while adhering to compliance 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 a Classification Assessment and typing test (minimum 30 WPM)
• Strong knowledge of systems used within the Member Service Contact Center
• Ability to manage work with minimal direction and demonstrate critical thinking skills