Representative, Support Center III

📋 Description

• Provide Level III customer service through phone, chat, email, and administrative channels
• Research and resolve complex member and provider issues involving eligibility, benefits, claims
• Handle escalated and highly complex calls, including issues raised on behalf of leadership, while
• Support appeals and grievances, problem research and resolution, and the development or maintenance
• Accurately document all member and provider interactions and complete required follow-up in a
• Build rapport with customers, actively listen to their concerns, identify root causes, and provide

🎯 Requirements

• At least 2 years of customer service, call center, and/or sales experience in a fast-paced
• Working knowledge of insurance products, particularly Medicaid, Medicare, and Marketplace
• Strong customer service and research skills, with the ability to investigate issues while
• Experience with data processing and the ability to manage multiple tasks accurately and efficiently.
• Excellent verbal and written communication skills, including the ability to explain information
• Strong attention to detail, organization, time management, and follow-through.

🎁 Benefits

• Full-time, fully remote position within the United States.
• Competitive hourly compensation of approximately $13.41–$29.06, depending on geographic location
• Opportunity to support members and healthcare providers across multiple products and states.
• Exposure to complex healthcare-service, insurance, regulatory, and customer-engagement matters.
• Opportunities to develop expertise across Medicare, Medicaid, Marketplace, and related lines of
• Opportunity to contribute to customer-experience improvements and support the development of other