Customer Service Representative

Role Overview

• Handle incoming phone calls and be the primary customer interface for inquiries.
• Inform and educate customers and serve as member advocate.
• Use established best practices, attend ongoing training and utilize resources to navigate insurance.
• Research customer information utilizing appropriate systems to effectively respond to and resolve issues.
• Comply with State and Federal regulations and stay current on policies to support customers.

Requirements

• High School Diploma or Equivalent
• Three years of experience in a complaint type customer service office setting (health insurance or related field preferred)
• An equivalent combination of education and experience may be substituted for this requirement.
• Availability for training 14 to 16 weeks in length.
• Basic medical/dental terminology and contract interpretation is a plus.