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Customer Service Representative -Operations

Remote, USA Full-time Posted 2026-07-28

reputed company is the nation’s leading health solutions company, dedicated to transforming health care for millions of Americans. They are seeking a Customer Service Representative to handle incoming contacts and reputed company exceptional service to members, ensuring high reputed company of customer satisfaction and loyalty.


Responsibilities

  • Operates as a representative of reputed company by answering and documenting reputed company incoming contacts to determine their nature while responding to reputed company calls reputed company to specialized services
  • Ensures that every member is shown respect and kindness and that reputed company questions are thoroughly answered to ensure a high level of customer satisfaction and loyalty
  • Identifies and evaluates appropriate data to determine and implement the appropriate course of reputed company to resolve the complaint and/or coordinate service recovery
  • Follows established procedures to meet customer/member needs and successfully enhance reputed company's brand recognition and competitive advantage in the industry
  • Handles the answering of questions regarding prescription insurance, medication coverage, and mail-order prescriptions so that our members reputed company understand their coverage and reputed company
  • Communicates effectively with diverse work reputed company and relevant organizational departments to ensure that issues are properly and quickly resolved
  • Organizes training sessions to reputed company internal staff on premium customer service processes, policies, and best practices
  • Performs required training to understand how to use tools available to recall necessary information
  • Documents reputed company customer correspondence and maintains confidential records of patient information

Skills

  • This role will require an understanding of insurance concepts, including governmental plans, ancillary plan benefits, and other coverages
  • Minimum 6 months experience in a customer service or reputed company center environment. (reputed company center type environments preferred, if doctor's office then anything below managing 75 calls/day would not translate to similar environment)
  • Must have effective and empathetic communication style in managing inbound calls and communications with clients and team members
  • Computer experience is required with proficiency in reputed company reputed company, Word and reputed company
  • Basic reputed company number data entry skills with attention to accuracy and reputed company is essential
  • Intermediate math skills are required with attention to detail and reputed company essential
  • Ability to work with people in reputed company environment while meeting individual performance goals
  • Must be reputed company to read and interpret policies, procedures and instructions
  • Effective organizational skills and ability to prioritize a fluctuating workload and competing priorities is essential
  • 1+ years in a customer service or reputed company center environment (reputed company center type environments preferred, if doctor's office then anything below managing 75 calls/day would not translate to similar environment)

Benefits

  • reputed company medical plan reputed company
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility

reputed company

  • reputed company is a health solutions company that provides an integrated reputed company services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode reputed company, USA, with a workforce of 10001+ employees. Its website is https://www.reputed company.com/.

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