Customer Service Representative - Remote

Struction Solutions is seeking dependable and customer-focused Client Support Representatives to assist members of the Louisiana Medicaid managed care programs. The role involves answering incoming calls, explaining healthcare enrollment options, processing member requests, and providing courteous, unbiased support in a remote call center environment.

Responsibilities:

• Answer incoming calls from Louisiana Medicaid members and potential members
• Assist members with selecting a health plan and indicating a primary care provider preference
• Explain how to access services through Louisiana Medicaid managed care programs
• Process enrollments, disenrollments, and other member inquiries
• Educate members about managed care, the 90-day choice period, and annual enrollment
• Research and follow up on complicated or unresolved cases
• Document member questions, complaints, and resolutions accurately
• Maintain current knowledge of program policies, procedures, and changes
• Protect member confidentiality and provide unbiased assistance
• Escalate concerns to a Lead Agent or Call Center Supervisor
• Perform additional duties assigned by management

Requirements:

• Location: Remote – Contiguous United States ONLY
• Schedule: Monday–Friday
• Candidates must provide equipment that meets the required BYOD specifications and be available to work 9am-6:15pm Eastern hours
• Required Qualifications

• High school diploma or equivalent • At least one year of customer service experience in a call center environment • Strong written and verbal communication skills • Excellent active-listening and customer-service abilities • Comfortable using computers, reports, and multiple automated systems • Ability to communicate effectively with culturally diverse populations • Strong organization and attention to detail • Ability to manage multiple tasks in a fast-paced, deadline-oriented environment • Ability to work independently and as part of a team • Associate degree or equivalent relevant experience preferred • Medicaid, managed care, Louisiana Medicaid, or LaCHIP experience is helpful but not required; program training will be provided

• Mandatory Paid Training and Nesting

Training

• Begins 9/29/26 • Monday–Friday, 9:00 a.m.–5:30 p.m. Eastern Time • 12 Days • 100% attendance required

Nesting

• Monday–Friday, 9:45 a.m.–6:15 p.m. Eastern Time • 15 days • 100% attendance required

Candidates must not have prescheduled appointments or anticipated absences during training or nesting. Missing scheduled time may result in removal from the assignment.

Agents must remain on camera throughout the entire training and nesting period

• Regular Hours of Operation

Normal business hours are Monday–Friday, 9:00 a.m.–6:15 p.m. Eastern Time. Candidates must be able to work assigned hours within this schedule, regardless of their local time zone

• Remote Work Requirements

Candidates must have:

• A personal computer that meets the BYOD specifications • Reliable high-speed internet • A functioning webcam and headset • A quiet, private, and professional workspace • The ability to sit and work at a computer for prolonged periods

• Experience:

• Remote Customer Service : 1 year (Required)