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 and timely information while fostering collaborative relationships.

Key responsibilities:

• Handle a variety of member inquiries related to eligibility, benefits, billing, and claims, ensuring effective resolution and documentation
• Initiate contact with relevant health plan personnel to gather necessary information for complex inquiries
• Support compliance with organizational policies and maintain confidentiality while delivering exceptional customer service

Required qualifications:

• Minimum of 2.5 years of customer service experience, including 6 months as a Customer Service Representative I within the Member Service Contact Center
• High School Diploma or General Education Diploma (GED) required
• Must pass a 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