Customer Service Representative II

Job Summary

Providing essential support to members and customers, 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 and document member inquiries across various service categories, including eligibility, benefits, and billing
• Initiate contacts with appropriate personnel to gather information and resolve complex inquiries or complaints
• Evaluate data and implement actions to ensure customer needs are met and performance standards are achieved

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 possess a minimum typing speed of 30 WPM
• Demonstrated analytical skills and familiarity with systems used within the Member Service Contact Center
• Ability to manage work independently with minimal direction and pass knowledge checks during training