Customer Service Representative II - CO

Job Summary

Providing exceptional support to members and customers, the full-time remote Customer Service Representative II - CO will manage complex inquiries related to health plan services, billing, and claims while ensuring compliance with organizational guidelines.

Key responsibilities:

• Handle member inquiries regarding eligibility, benefits, billing, and claims with a focus on customer satisfaction and retention
• Document conversations and coordinate with relevant health plan personnel to resolve issues effectively
• Support compliance and maintain confidentiality while promoting extraordinary customer relations

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 department-administered Tier II Assessment with a minimum score of 70%
• Strong knowledge of systems used within the Member Service Contact Center
• Ability to manage work with minimal direction and demonstrate analytical skills