Customer Service Representative

Customer Service Representative

The Customer Service Representative provides essential support to members and providers by managing inbound calls regarding claims, eligibility, and benefit inquiries. This role requires strong communication skills, empathy, and adaptability to deliver a high-quality experience in a fast-paced environment. The position is key to ensuring positive member interactions, efficient issue resolution, and maintaining the organization's reputation for service excellence.

Key Responsibilities :

• Receive inbound calls from members and providers regarding claims status, eligibility, and benefit information.
• Navigate multiple systems efficiently; training provided on the Avaya phone system.
• Maintain professionalism and empathy throughout all customer interactions.
• Adapt quickly to process updates and system changes in a dynamic, high-volume environment.
• Ensure punctuality and consistent attendance, particularly during the training period.
• Participate in on-camera training and adhere to Work-from-Home policies.

Minimum Education & Experience Requirements :

Special Requirements :

Knowledge, Skills, and Abilities :

Additional Desired Characteristics :

Other Duties :