Customer Service Representative - Commercial Products (7/6 Start Date)
About The Position
Medica is a nonprofit health plan serving over a million members across several states, focusing on personalized healthcare experiences and strong provider partnerships. The company culture emphasizes accountability, data-driven decisions, continuous learning, and collaboration. This role is in a 100% inbound customer service environment, handling inquiries related to claims, enrollment, billing, pharmacy, contract interpretation, and benefit explanations. Representatives work telephonically, aiming for exceptional service satisfaction and utilizing a service recovery process for complex member situations. The department offers a fast-paced, rewarding environment with extensive paid training, comprehensive benefits, and opportunities for 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
Nice To Haves
- Customer Service experience in a Healthcare related setting preferred
- Excellent verbal and written communication skills
- Able 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 is needed
- An ability to identify process improvements, provide mentor and peer feedback, and develop knowledge of multiple products and platforms
- Demonstrated ability to learn quickly and respond well to a rapidly changing industry and operational environment
Responsibilities
- Resolve member 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.
- Perform other duties as assigned.
Benefits
- 4-6 weeks of paid training
- Comprehensive benefits
- Supportive environment that fosters continual growth
- Competitive medical, dental, vision
- PTO
- Holidays
- Paid volunteer time off
- 401K contributions
- Caregiver services
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
