Customer Service Representative II

Job Summary

To enhance customer satisfaction and retention, the full-time remote Customer Service Representative II will manage complex member inquiries, provide accurate information, and build rapport with members while adhering to compliance guidelines.

Key responsibilities:

• Handle member inquiries related to eligibility, benefits, billing, and claims, ensuring timely and accurate responses
• Document interactions and coordinate with relevant health plan personnel to resolve complex issues effectively
• Support departmental goals by maintaining compliance with policies and promoting exceptional customer service 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 Classification Assessment and demonstrate a typing speed of at least 30 WPM
• Strong knowledge of systems used within the Member Service Contact Center
• Ability to manage work independently with minimal direction and pass knowledge checks during training