Customer Service Representative II

Job Summary

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

Key responsibilities:

• Handle member inquiries related to eligibility, benefits, billing, and claims while documenting all interactions
• Evaluate data to determine appropriate resolutions for complaints and coordinate service recovery as needed
• Promote compliance and maintain confidentiality while providing extraordinary customer service to internal and external customers

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
• Minimum typing speed of 30 WPM, with a current typing test within the last year
• Strong knowledge of systems used within the Member Service Contact Center