Working remotely full-time, the Customer Service Representative - Enrollment will assist in resolving customer concerns, provide education and instruction, and maintain customer satisfaction related to enrollment processes. Key responsibilities Resolve and reconcile enrollment reports and eligibility issues in accordance with policies and state guidelines Initiate communication with newly enrolled members, dependents, and employer groups, and prepare necessary documentation Research and address claims issues, providing support to member and provider services staff regarding claims resolution Required qualifications High School Diploma or Equivalent (GED) required Minimum of 1 year of customer service experience required Ability to interpret and apply rules and regulations related to enrollment and eligibility Experience with membership data management and reporting Reliable high-speed internet connection and a dedicated workspace at home
Customer Service Representative - Enrollment • Irvine, California, United States
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