Customer Service Representative - Commercial Products (8/31 Start Date)

Medica • ,

11d • $33,300 - $41,370 • Remote

About The Position

Medica is a nonprofit health plan serving over a million members across multiple states. They are seeking Customer Service Representatives for their Commercial Products division. This role is in a 100% inbound customer service environment, focusing on resolving member inquiries related to claims, enrollment, billing, pharmacy, contract interpretation, and benefit explanation. Representatives will handle calls telephonically, aiming for exceptional service satisfaction and utilizing a service recovery process for complex situations. The department offers a fast-paced and rewarding environment with paid training, comprehensive benefits, and opportunities for growth. Successful representatives gain significant health plan and claims knowledge, which can lead to career advancement within Medica.

Requirements

• High School Diploma, GED or equivalent; equivalent work experience will be considered in lieu of educational requirement
• 2+ years of customer service experience
• Excellent verbal and written communication skills
• Ability to deliver high quality service to Medica's members
• Ability to interact with the team and support each other in dealing with customer issues
• Advanced ability to multi task and manage time efficiently
• Demonstrated ability to learn quickly and respond well to a rapidly changing industry and operational environment
• Must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI.
• Must be legally authorized to work in the United States at the time of application.

Nice To Haves

• Customer Service experience in a Healthcare related setting preferred

Responsibilities

• Resolve service inquiries for claims, enrollment, billing, and pharmacy.
• Interpret contracts and explain benefits to members.
• Provide exceptional levels of service satisfaction.
• Engage in the service recovery process to assist members in complex situations.
• Identify process improvements.
• Provide mentor and peer feedback.
• Develop knowledge of multiple products and platforms.

Benefits

• 4-6 weeks of paid training
• Comprehensive benefits
• Supportive environment that fosters continual growth
• Career advancement opportunities
• Competitive medical, dental, vision
• PTO
• Holidays
• Paid volunteer time off
• 401K contributions
• Caregiver services

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED