Member Customer Service Representative

📋 Description

• Handle inbound and outbound phone-based customer service interactions, providing accurate
• Research claims status and routine inquiries, investigate issues, and route matters requiring
• Follow up on outstanding or pended items and ensure incoming documentation is directed to the
• Thoroughly document member and provider interactions, maintaining accuracy, completeness
• Support both members and healthcare providers, including clinics, hospitals, skilled nursing
• Work consistently against established quality, performance, productivity, and attendance

🎯 Requirements

• High school diploma or GED required.
• Two years of customer service experience in a related field, with additional consideration for
• Demonstrated ability to resolve customer concerns, manage conflict, and communicate with empathy
• Experience navigating Microsoft Office or comparable software platforms, including working across
• Ability to receive constructive feedback, adjust working practices, and implement changes that
• Strong verbal and written communication skills, with the ability to adapt communication style to a

🎁 Benefits

• Full-time, work-from-home position with a consistent Monday–Friday schedule and an 8-hour shift
• Twelve weeks of paid virtual training, with full attendance required.
• One-time pre-tax home-office furniture allowance of $500 after successfully completing the training
• National salary range of $38,500–$57,800, with compensation varying based on factors such as
• Medical, dental, and vision coverage with healthcare benefits beginning on day one.
• Employer-matched 401(k) and pension program, with the pension vested after three years of service.