Remote Customer Service Representative

Job Summary

A company is looking for a Customer Service Representative, Remote.

Key Responsibilities:

• Act as the primary liaison for members and providers regarding inquiries about eligibility, authorizations, claims, and policy procedures
• Handle and resolve customer inquiries and complaints, ensuring first call resolution
• Maintain accurate call logs and escalate priority issues as necessary

Required Qualifications:

• High School Diploma or Equivalent required; Associate's Degree in Healthcare Management preferred
• Ability to handle complex customer inquiries related to benefits, claims, and eligibility
• Experience in customer service or a related field
• Familiarity with navigating multiple systems to resolve customer issues
• Commitment to building customer confidence and satisfaction