Remote Member Service Representative

Job Summary

A company is looking for a Member Service Representative to provide support for stakeholders by delivering accurate information about health plans.

Key Responsibilities:

• Utilize resource materials to effectively respond to and resolve customer inquiries and problems
• Handle a high volume of incoming calls from members and providers, documenting interactions as required
• Maintain knowledge of contracts and policies while meeting department quality and productivity goals

Qualifications:

• High school diploma or equivalent required; bachelor's degree preferred
• Prior professional work experience, ideally in customer service
• Ability to work from home with access to high-speed internet
• Regular and reliable attendance is essential
• Bilingual skills in Spanish, Portuguese, or Haitian Creole are highly desirable