Call Center Representative 1

TEKsystems • Los Angeles, CA

3d • $18 - $19 • Remote

About The Position

We are seeking a Customer Service Representative to join a healthcare-focused customer support team. In this role, you will serve as the primary point of contact for members, providers, and customers, assisting with inquiries related to health plans, billing, services, and claims. The ideal candidate is customer-focused, detail-oriented, and able to effectively resolve issues while maintaining a high level of professionalism.

Requirements

• High school diploma or GED preferred.
• 0-2 years of customer service experience required.
• Previous experience in a healthcare, health plan, insurance, or call center environment preferred.
• Strong verbal and written communication skills.
• Excellent customer service and interpersonal skills.
• Strong attention to detail and organizational abilities.
• Ability to work independently and effectively manage time.
• Proficiency with Microsoft Outlook and data entry systems.
• Ability to accurately document customer interactions and maintain detailed records.

Nice To Haves

• Customer service experience within a healthcare or health plan setting.
• Experience handling billing inquiries, claims, or member services.
• Comfortable navigating multiple systems while speaking with customers.
• Strong problem-solving and conflict-resolution abilities.

Responsibilities

• Respond to inbound and/or outbound customer inquiries regarding healthcare services, billing, claims, and health plan benefits.
• Resolve customer service and billing concerns by researching issues, processing adjustments, and providing appropriate solutions.
• Contact customers to respond to questions, communicate claim investigation results, and explain any necessary adjustments.
• Escalate unresolved concerns to the appropriate department for further review and resolution.
• Maintain accurate documentation of customer interactions, inquiries, complaints, and actions taken.
• Provide timely follow-up to ensure customer concerns are fully addressed.
• Deliver exceptional customer service while maintaining confidentiality and compliance with company policies.

Benefits

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

What This Job Offers

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