Customer Service Representative Jobs

About The Position

Requirements

• Minimum of 1 year of Customer Service experience.
• High School Diploma required (college coursework preferred).
• Proficiency in computer applications and Microsoft Office.
• Excellent verbal, written, and reading communication skills.
• Bilingual (English and Spanish).
• Strong customer service orientation, empathy, and a proactive attitude.
• Availability to work rotating 8-hour shifts in a 24/7 operation, including weekends and holidays. Shift differential pay is provided when applicable.

Nice To Haves

• college coursework preferred

Responsibilities

• Answer inbound calls from members and provide clear information about their health plans.
• Guide and educate members regarding coverage, benefits, and promotions (non-clinical topics).
• Accurately document customer inquiries, interactions, and actions taken while ensuring compliance.
• Escalate unresolved issues or complaints to supervisors or the appropriate departments.
• Participate in outbound interview campaigns, Contact Center projects, and training programs.
• Maintain confidentiality of member information and comply with HIPAA regulations and internal company policies.

Benefits

• Specialized training in customer service, healthcare topics, and regulatory compliance.
• 24/7 Telemedicine service.
• Free employee health and wellness programs.
• Career growth and professional development opportunities.
• Paid time off.
• Retirement plan.
• The opportunity to make a positive impact on the health and well-being of the community.