Top 2178 Customer service representative Jobs in La Mirada Ca

Member Service Representative
Champion Health Plan/ Champion Payer Solutions —Long Beach, CA
- From $22 an hour
- Weekends as needed
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
E-Commerce Shipping and Customer Service Associate
iMomoko.com —South El Monte, CA
- $20 - $23 an hour
- 8 hour shift
- Microsoft Excel
- Inventory management
- Merchandising
- Health insurance
- Paid time off
Quick Apply
Debt Relief/Debt Collections Customer Service Representative
Relintex —Irvine, CA
- $23 - $27 an hour
- Full-time
- Background check
- Spanish
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Insurance Customer Service Representative - Mandarin Speaker Required
State Farm Agency —Hacienda Heights, CA
- $42,000 - $80,000 a year
- Part-time
- English
- Office
- Communication skills
- Tuition reimbursement
- Paid time off
Quick Apply
Insurance-Experienced P&C CSR-Office-Customer Service Representative
CIF Insurance Agency —Huntington Beach, CA
- $60,000 - $75,000 a year
- Full-time
- Background check
- Customer service
- Mid-level
- COVID-19 protective measures
- Health insurance
Quick Apply
Customer Service Representative
Career Group Finance —Costa Mesa, CA
- $20 - $23 an hour
- Full-time
- In-person
- Entry level
- Commercial
Quick Apply
3d
Client Representative
Confidential —Downey, CA
- $58,000 - $68,000 a year
- Full-time
- Background check
- In-person
- Communication skills
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5d
Client Service Representative
AppleOne —Pasadena, CA
- $41,600 - $65,000 a year
- Mid-level
- Office
- Fair chance
- Health insurance
- Dental insurance
Quick Apply
18h
Receptionist and customer service specialist
Original hems —Santa Ana, CA
- $20.45 - $22.92 an hour
- Part-time
- US work authorization
- In-person
- Entry level
- Flexible schedule
Quick Apply
5d
Call Center Representative
TaxRise —Irvine, CA
- $24 - $25 an hour
- Overtime
- Background check
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
6d
Customer Service Rep/Inside Sales needed in Santa Fe Springs
Mega Western Sales —Santa Fe Springs, CA
- $19 - $21 an hour
- 8 hour shift
- Microsoft Outlook
- Computer literacy
- Office
- Paid holidays
- Health insurance
Quick Apply
5d
CUSTOMER SERVICE REP
FRY REGLET CORPORATION —Santa Fe Springs, CA
- $24 - $27 an hour
- Microsoft Outlook
- Writing skills
- Mid-level
Quick Apply
9d
Orders Department - Customer Service
All American Print Supply Co. —Cerritos, CA
- $20 - $24 an hour
- 8 hour shift
- Customer service
- Computer literacy
- High school diploma or GED
- Paid time off
Quick Apply
10d
Call Center Agent
Children's Happy Teeth & Happy Braces —La Mirada, CA
- $19 - $21 an hour
- Full-time
- Spanish
- English
- Children
- Paid holidays
- Dental insurance
Quick Apply
Customer Service Representative/Admin
Fit-Line Global —Brea, CA
- $25 an hour
- Full-time
- 5 years
- ERP systems
- Office
- Health insurance
- Dental insurance
Quick Apply
Customer Service Representative II (M-F 6:00am-2:30pm)
Niagara Bottling —Diamond Bar, CA
- $24.59 - $32.58 an hour
- Full-time
- Research
- Mid-level
- High school diploma or GED
- Health savings account
- AD&D insurance
Quick Apply
4d
Customer Support Specialist
GPA Specialty Substrate Solutions —Cerritos, CA
- $58,000 - $62,000 a year
- 8 hour shift
- Hybrid work
- Microsoft Excel
- 5 years
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Customer Service Specialist
Paramount Global Inc. —La Mirada, CA
- $25 - $32 an hour
- Full-time
- Hybrid work
- Customer service
- Administrative experience
- Data entry
- Paid holidays
- Health insurance
Quick Apply
4d
Customer Service Specialist I
City of Pomona —Pomona, CA
- $50,736 - $61,716 a year
- 8 hour shift
- Basic math
- Office
- Administrative experience
- AD&D insurance
- Paid holidays
10d
Customer Service Representative - Reception
East Valley Community Health Center —West Covina, CA
- $22.00 - $25.98 an hour
- Spanish
- Computer literacy
- English
- Paid holidays
- Health insurance
Quick Apply

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Member Service Representative

Champion Health Plan/ Champion Payer Solutions
Long Beach, CA

Quick Apply

Job Details

Full-time
From $22 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Flexible schedule

Qualifications

Spanish
Customer communication
Teamwork
Customer retention
Managed care
Managed care organization experience
Call center experience
HIPAA
English
Vietnamese
High school diploma or GED
Medical terminology

Full Job Description

SCOPE OF ROLE

The Member Service Representative (MSR) serves as the first point of contact for customers, providers, and advocates, ensuring exceptional customer experiences through accurate and helpful communication. This role involves handling incoming calls from Medicare Advantage members, assisting with benefit inquiries, referrals, claims, and guiding them to community resources as needed. The ideal candidate will be bilingual, proficient in medical terminology, and knowledgeable in CMS, Medicare, and HIPAA regulations. Strong proficiency in Microsoft Applications and a commitment to delivering top-tier service are essential.

ROLE RESPONSIBILITIES

The Member Service Representative job description is intended to point out major responsibilities within the role, but it is not limited to these functions:

KEY RESPONSIBILITIES % OF TIME

 Serve as the primary point of contact for customers, providers, and advocates, handling calls with professionalism and courtesy.

 Provide clear, concise, and accurate information to ensure customers fully understand their benefits, referrals, claims, and available resources.

 Ensure prompt and efficient service by answering all incoming calls within the

department’s established time frame.

 Escalate complex issues to management or relevant departments as necessary to

ensure customer concerns are thoroughly addressed.

 Collaborate with internal teams to resolve problems and enhance overall customer

satisfaction.

 Accurately document customer interactions, including actions taken, resolutions

provided, and any follow-up required.

 Adhere to department policies and HIPAA regulations to maintain confidentiality and

security of member information.

 Manage complaints, grievances, and appeals efficiently according to department

protocols.

 Assist in onboarding and training new staff, sharing knowledge and best practices.

 Complete required training promptly to stay current with procedures, systems, and

regulations.

 Consistently meet or exceed standards for quality, productivity, and adherence to

schedules.

 Participate in outbound call campaigns for welcome calls, enrollment verification calls, appointment scheduling,

retention efforts, and other health-related programs.

 Contribute to policy and procedure development related to customer experience.

 Stay updated on CMS, Medicare, and HIPAA regulations to ensure compliance and

provide accurate information.

 Utilize medical terminology and healthcare knowledge to assist members with inquiries.

 Adapt to changes in shifts, responsibilities, and operational needs as required.

 Facilitate member requests for provider changes, transportation, and other assistance.

 Maintain a positive attitude and practice excellent customer service principles.

 Perform other duties as assigned to contribute to the team and department’s success

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

 High School diploma or GED required.

 Associate degree (AA) degree (preferred).

 Minimum (2) or more years of direct customer service EXPERIENCE

 Knowledge of Medi-Cal, Medicare Managed Care Plans.

 Medical front office experience preferred.

PROFESSIONAL COMPETENCIES

 Strong communication skills (verbal and written).

 Highly organized with the ability to prioritize work to meet deadlines.

 Strong adaptability and openness to change.

 Knowledge of HIPAA regulations with a commitment to data privacy.

 Strategic skills in problem-solving, critical thinking, and innovation.

 Ability to collaborate effectively with business partners throughout the organization.

 Experience assisting members with Medicare Advantage or HMO, including referrals and authorizations.

 Outbound/inbound call center experience with a focus on problem-solving and escalation.

 Bilingual in English/Spanish or Vietnamese/English required.

 Proficiency in Microsoft Applications (Word, Excel, Outlook).

 Ability to multitask and prioritize tasks effectively.

 Flexibility to work varying shifts, including evenings and weekends.

LICENSURES AND CERTIFICATIONS

No licensures or certifications are required.

WORK ENVIRONMENT and ESSENTIAL PHYSICAL FUNCITONS:

Work Environment:

 Must be available for scheduling 7 days a week, including evenings, overnights, weekends, and holidays.

 Shifts may change based on operational needs; flexibility is essential.

Essential Physical Functions:

 Ability to work onsite in an open office setting, primarily sitting at a desk and working on a computer.

 Regularly required to talk, hear, stand, walk, sit, and use hands to handle or feel objects and controls.

 Frequently lifts/moves up to 10 pounds. Specific vision abilities include close vision and the ability to adjust focus.

EEO/AFFIRMATIVE ACTION STATEMENT

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse group of employees committed to meeting the needs of Champion Payer Solutions/ Champion Health Plan, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Job Type: Full-time

Pay: From $22.00 per hour

Benefits:

401(k)
Dental insurance
Flexible schedule
Health insurance
Paid time off
Vision insurance

Experience:

Managed care: 2 years (Required)

Language:

Spanish (Preferred)
Vietnamese (Preferred)

Ability to Commute:

Long Beach, CA 90815 (Required)

Ability to Relocate:

Long Beach, CA 90815: Relocate before starting work (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

customer service representative jobs in la mirada ca

Member Service Representative

E-Commerce Shipping and Customer Service Associate

Debt Relief/Debt Collections Customer Service Representative

Insurance Customer Service Representative - Mandarin Speaker Required

Insurance-Experienced P&C CSR-Office-Customer Service Representative

Customer Service Representative

Client Representative

Client Service Representative

Receptionist and customer service specialist

Call Center Representative

Customer Service Rep/Inside Sales needed in Santa Fe Springs

CUSTOMER SERVICE REP

Orders Department - Customer Service

Call Center Agent

Customer Service Representative/Admin

Customer Service Representative II (M-F 6:00am-2:30pm)

Customer Support Specialist

Customer Service Specialist

Customer Service Specialist I

Customer Service Representative - Reception

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