Washington State Customer Service Representative

Job Summary

Washington State Customer Service Representative, a full-time remote position, is responsible for responding to member and provider inquiries regarding benefits, eligibility, and claims while ensuring accurate documentation and resolution of issues.

Key Responsibilities

• Provide first call resolution for member inquiries related to benefits and eligibility
• Document inquiries and complaints in a computer database accurately and timely
• Meet attendance and call quality standards while performing all job functions accurately

Required Qualifications, Training, and Education

• Minimum of one year of customer service and/or call center experience, preferably in insurance or managed care
• Knowledgeable of Washington Apple Health state medical insurance and medical terminology
• Comfortable working in a fully remote environment
• Ability to use MS Office products such as Outlook, Word, and Excel
• Must pass a criminal background check and meet vaccination requirements