Customer Service Representative - Remote

Overview

The Customer Service Representative role involves receiving, investigating, and responding to member and provider calls regarding claims, benefits, and general inquiries in a timely and accurate manner.

In Short

• Must have a minimum of 2 years call center experience.
• Answers all telephone calls within established department standards.
• Tracks all calls ensuring concise and factual documentation.
• Participates in new employee orientation and ongoing education.
• Understands the OTC benefits and medical management processes.
• Maintains a positive and professional attitude.
• Shifts may vary from 8am – 10pm EST, including weekends.
• Attention to detail is required to maintain quality metrics.
• Interacts professionally with employees, customers, and suppliers.
• Works effectively as a team contributor and independently.

Requirements

• High school diploma or GED required.
• Minimum of two years call center experience required.
• Previous customer service experience in health insurance preferred.
• Excellent oral and written communication skills.
• Effective listening skills.
• Proficient in MS Office and basic computer skills.
• Ability to read and interpret documents and perform calculations.
• Excellent customer service skills.

Benefits

• Opportunity to work in a people-first environment.
• Engagement in ongoing education programs.
• Possibility of flexible shifts.
• Be part of a team that values integrity and transparency.