Customer Service Representative - Remote

Overview

Our partner is seeking Customer Service Representatives to support their operations in Madison, WI, with a scheduled start date of August 4, 2025. This is a fully remote role; however, candidates must reside within 50 miles of Madison to be eligible. The position involves handling 100% inbound service inquiries—no cold calling is required. Representatives will assist members with questions related to claims, enrollment, billing, and pharmacy services, while also interpreting contracts and explaining benefit details.

In Short

• Respond to inbound inquiries regarding claims, enrollment, billing, and pharmacy services
• Explain benefits and contract details in a clear and accurate manner
• Provide professional, high-quality service in all member interactions
• Resolve complex situations using a structured service recovery approach
• Collaborate with team members to support issue resolution and service delivery
• Complete a 4–6 week remote training program
• Maintain up-to-date knowledge of products, services, and platforms
• Suggest process improvements and provide constructive peer feedback
• Adapt quickly to changes in systems, procedures, and industry trends

Requirements

• Strong communication skills
• Ability to handle inquiries professionally
• Experience in customer service preferred
• Problem-solving abilities
• Familiarity with claims and billing processes
• Willingness to learn and adapt
• Ability to work in a remote environment
• Residency within 50 miles of Madison, WI

Benefits

• Fully remote work environment
• Comprehensive training program
• Opportunities for career advancement
• Supportive team culture
• Flexible work hours