Job Summary
We are seeking customer-focused and compassionate Licensed Customer Service Representatives to support members and prospective customers with Medicare, Medicaid, and Individual & Family health plans. In this role, you will serve as a trusted Insurance Advisor by educating customers about their coverage options, assisting with enrollments, resolving inquiries, and delivering exceptional customer service. Success in this position requires strong communication skills, empathy, problem-solving abilities, and the ability to thrive in a fast-paced, remote call center environment.
Key Responsibilities
- Answer and manage a high volume of inbound customer calls professionally and efficiently.
- Assist members and prospective customers with Medicare, Medicaid, and Individual & Family health plan inquiries.
- Educate customers on plan benefits, eligibility, enrollment, and coverage options.
- Resolve customer issues by coordinating with internal departments and external partners.
- Address customer concerns and complaints with professionalism, empathy, and a solution-oriented approach.
- Accurately document customer interactions and maintain confidential information.
- Navigate multiple computer systems while adhering to company policies and regulatory requirements.
- Meet quality, productivity, and compliance standards while delivering exceptional customer service.
- ractions.
- Schedule may include weekends.
Qualifications
Required
- High School Diploma or GED.
- Strong verbal and written communication skills.
- Excellent customer service and problem-solving abilities.
- Basic computer proficiency and data entry skills.
- Basic math skills.
- Ability to multitask while navigating multiple systems.
- Ability to work independently in a remote environment.
Preferred
- Previous customer service or call center experience.
- Knowledge of medical terminology.
- Experience in healthcare, insurance, enrollment, billing, claims processing, banking, retail, sales, or social services.
Key Characteristics for Success
Successful candidates demonstrate:
- Respect for internal and external customers.
- Empathy when handling sensitive or complex situations.
- Integrity and ethical decision-making.
- Commitment to delivering exceptional customer experiences.
- Adaptability in a fast-paced, changing environment.
- Strong organizational and multitasking skills.
Ability to remain calm and professional under pressure.
"TGIT01"
Pay: $15.00 - $18.00 per hour
Benefits:
Work Location: Remote
