Call Center Customer Service Representative (Health Insurance) - Remote

Overview

The Call Center Customer Service Representative (Health Insurance) is responsible for handling incoming calls and correspondence from customers in a call center environment, providing accurate responses to inquiries and resolving issues based on health plan benefits.

In Short

• Handle customer inquiries regarding health benefits and claims.
• Process complaints and appeals in accordance with regulations.
• Document all customer interactions accurately.
• Follow up with customers on open issues.
• Participate in a 90-day training program with assessments.
• Work in a hybrid schedule, potentially requiring in-office work.
• Maintain a professional demeanor as per company conduct guidelines.
• Return customer calls within 48 hours.
• Assist with various customer service tasks as assigned.
• Work location may change based on business needs.

Requirements

• High School Diploma or equivalent.
• Minimum of 3 years of customer service experience.
• Strong attention to detail and problem-solving skills.
• Ability to pass training assessments with a score of 85% or above.
• Effective communication skills for customer interactions.

Benefits

• Competitive salary with opportunities for overtime.
• Diverse and inclusive work environment.
• Training and development opportunities.
• Potential for hybrid work schedule.