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Health Plan Client Support Specialist, Representative I

Remote, USA Full-time Posted 2025-11-03
Description: • Serve as first line of contact for clients; manage high volume of phone calls, emails, and SalesForce cases • Provide accurate, professional correspondence to resolve member issues and concerns • Continuously evaluate and identify opportunities to drive process improvements • Work collaboratively with internal/external business partners to provide solutions for clients/members • Take responsibility for following through and bringing outstanding issues to closure on initial contact • Promote positive team environment and seek opportunities to develop professional expertise • Enter data into SalesForce daily and meet Salesforce performance goals • Self-audit communications and work completed; proofread and use spell/grammar check • Utilize available tools (Microsoft Office, OneNote, PeopleSafe, RxClaim, theSource) to provide customer service • Participate in pharmacy outreach campaigns and take incoming client calls Requirements: • 3+ years of experience in a complex, high-impact customer interfacing role • High School Diploma or GED required • Bachelor's degree preferred • Candidate must be in Pacific or Mountain Time Zone • Occasional need for scheduled overtime, weekend and holidays as determined by business need • Ability to remain calm and professional in emotionally charged situations while deescalating clients/members issues • Able to effectively utilize resources such as company tools, databases, and/or references • Works collaboratively with both internal and external business partners • Includes entering data into SalesForce daily and meet Salesforce performance goals • Self-audit of all communications and work completed is required including proofreading of emails, case comments and systems entries • Utilize spell-check and grammar check are required • Proficiency in pharmacy outreach campaigns and taking incoming client calls • Utilize Microsoft Office, OneNote, Client Support work instructions, PeopleSafe, RxClaim, and theSource Benefits: • Affordable medical plan options • a 401(k) plan (including matching company contributions) • an employee stock purchase plan • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching • Paid time off • flexible work schedules • family leave • dependent care resources • colleague assistance programs • tuition assistance • retiree medical access • many other benefits depending on eligibility Apply tot his job Apply To this Job

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