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California Licensed Senior Customer Service Representative

6/22/2025

Remote

Job Summary

A company is looking for a Customer Service Representative Senior - Remote in CA.

Key Responsibilities
  • Receive and resolve customer concerns regarding claims, authorizations, and IPA functionality
  • Act as a liaison between physicians, health plans, and IPA staff while logging issues for follow-up
  • Participate in training new staff and maintain departmental quality standards


Required Qualifications
  • Must be 18 years of age or older
  • 1+ years of experience in a Medicare and HMO environment
  • 1+ years of claims processing or customer service experience
  • Experience interpreting provider and health plan contracts
  • Ability to work full time with flexibility for shift schedules

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