Note: The job is a remote job and is open to candidates in USA. The client is a mutual benefit corporation and health plan provider seeking a remote Customer Service Representative for California residents. The role handles inbound calls from health plan members, resolves inquiries about benefits and enrollment, researches concerns across multiple systems, and delivers accurate, empathetic customer support.
Responsibilities
- Handle inbound customer service calls from health plan members
- Resolve member inquiries related to:
- Prescription benefits (RX)
- Primary Care Provider (PCP) information
- Benefits and coverage
- Eligibility and enrollment
- Provide accurate information while maintaining a high level of customer service
- Utilize multiple systems and applications to research and resolve member concerns
- Document interactions and follow established service procedures
- Deliver professional, empathetic, and solution-oriented support
Skills
- Candidate must be authorized to work in USA without requiring sponsorship
- California Residents
- • Full-time, 40 hours per week
- • Must be available to work weekends
- • Monday – Friday shifts may be scheduled between 4:45 AM and 8:00 PM Pacific Time
- • Weekend shifts may be scheduled between 6:45 AM and 8:00 PM Pacific Time
- • Assigned 8-hour shift within operating hours
- • 100% attendance required during training
- High School Diploma
- Minimum 2+ years of customer service experience
- Strong computer and phone system proficiency
- Experience using Microsoft Office applications
- Excellent verbal communication and problem-solving skills
- Ability to navigate multiple systems while assisting customers
- Reliable internet connection and suitable remote work environment
- Flexibility to work assigned shifts, including weekends
- • Previous call center experience
- • Healthcare customer service experience
- • Experience supporting Medicaid, Medicare, benefits, or health plan members
Benefits
- 100% Remote for California Residents
- 6-week paid training program
- 6 months contract w/ possibility of extension or conversion to FTE role
Company Overview