Top 1399 Customer service representative Jobs in San Pedro

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
Patient Financial Services Representative
E-Solutions IT Services Private Limited —Whittier, CA
- $21 - $23 an hour
- Call employer
- Background check
- In-person
- 1 year
Quick Apply
Customer Service Representative for 3PL Logistic Company
Command Logistic Services —Rancho Dominguez, CA
- From $19 an hour
- Overtime
- Bilingual
- Spanish
- Customer service
Quick Apply
Customer Service Representative (Logisitics)
Temps, Inc. —Carson, CA
- $22 - $23 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Mid-level
Quick Apply
Customer Service Gaming Associate
Knighted Ventures —Gardena, CA
- $21 - $23 an hour
- Weekends as needed
- Background check
- Basic math
- Pass drug screening
- Paid training
- Health insurance
Quick Apply
2d
Customer Success Specialist
Futures Training Center —Long Beach, CA
- $22 - $24 an hour
- Full-time
- Google Workspace
- Customer service
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Customer Service Representative
Mainfreight Inc —Carson, CA
- $50,000 - $55,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Continuous improvement
- Paid training
- Health insurance
Quick Apply
Customer Service/Sales
Home Depot —San Pedro, CA
- $20 - $23 an hour
- Entry level
Customer Service Associate I
Dollar Tree —San Pedro, CA
- $18.50 - $19.00 an hour
- Part-time
- High school diploma or GED
- Ability to lift 50 pounds
- Grocery store experience
- Health insurance
- Dental insurance
Call Center Representative
Catalina Express —San Pedro, CA
- From $19 an hour
- Weekends as needed
- Entry level
- Time management
Pro Customer Service/Sales
Home Depot —San Pedro, CA
- $20 - $22 an hour
- Entry level
- Commercial
Customer Service Associate I
Family Dollar —San Pedro, CA
- $18.47 - $18.50 an hour
- Part-time
- High school diploma or GED
- Ability to lift 50 pounds
- Grocery store experience
- Health insurance
- Dental insurance
Patient Engagement Representative
Pediatric Associates —San Pedro, CA
- Full-time
- Mid-level
- Office
- High school diploma or GED
Customer Service Representative
PLS —Wilmington, CA
- $18.47 - $20.47 an hour
- Weekends as needed
- Ability to sit for extended periods
- Fair chance
- Financial services
- Health insurance
- Dental insurance
Quick Apply
Veterinary Receptionist / Client Service Representative
South Shores Pet Clinic —San Pedro, CA
- $20 - $22 an hour
- Full-time
- 1 year
- Communication skills
- Entry level
- Health insurance
- Dental insurance
Quick Apply
12d
Customer Service Representative 1 (Aerospace Industry)
LISI —Torrance, CA
- $20 - $26 an hour
- Full-time
- Microsoft Access
- Microsoft Outlook
- Ability to walk for extended periods
- Health savings account
- Health insurance
Quick Apply
6d
Customer Service Representative
Malaga Bank —Palos Verdes Estates, CA
- Full-time
- Office
- Residential
- Entry level
Medical Call Center Representative
ImmunityBio —El Segundo, CA
- $28.10 - $30.90 an hour
- Full-time
- High school diploma or GED
- In-person
- Medical terminology
- AD&D insurance
- Disability insurance
Customer Service Coordinator / Order Entry
Oriental Motor U.S.A. Corporation —Torrance, CA
- $25.64 - $33.33 an hour
- Full-time
- Office
- Conflict management
- Computer skills
- Health insurance
- Dental insurance
Quick Apply
10d
Customer Service Representative
U-Haul —Torrance, CA
- $16.90 - $17.50 an hour
- Part-time
- Clean driving record
- Forklift
- High school diploma or GED
- Paid holidays
- Health insurance

I want to receive the latest job alert for customer service representative in san pedro

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

customer service representative jobs near san pedro

Customer Service Representative jobs in Gardena, CA

Customer Service Representative jobs in Torrance, CA

Member Services Representative jobs in Long Beach, CA

Customer Service Representative jobs in Carson, CA

Customer Service Representative jobs in Wilmington, CA

Veterinary Receptionist jobs in San Pedro, CA

Customer Service jobs in El Paso, TX

Customer Success Specialist jobs in Jacksonville, FL

Customer Success Manager jobs in Raleigh, NC

All Remote Customer Service jobs in Memphis, TN

Customer Success Specialist jobs in New York State

Customer Success Specialist jobs in Madison, WI

Customer Service Representative jobs in El Paso, TX

Customer Success Specialist jobs in Colchester, CT

Customer Service Manager jobs in Phoenix, AZ

Service Manager jobs in Houston, TX

Customer Service Representative jobs in Fort Collins, CO

Customer Service Representative jobs in Lancaster, PA

Customer Service Representative jobs in Long Beach, CA

Customer Service Representative jobs in Greensboro, NC

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 san pedro

Member Service Representative

Patient Financial Services Representative

Customer Service Representative for 3PL Logistic Company

Customer Service Representative (Logisitics)

Customer Service Gaming Associate

Customer Success Specialist

Customer Service Representative

Customer Service/Sales

Customer Service Associate I

Call Center Representative

Pro Customer Service/Sales

Customer Service Associate I

Patient Engagement Representative

Customer Service Representative

Veterinary Receptionist / Client Service Representative

Customer Service Representative 1 (Aerospace Industry)

Customer Service Representative

Medical Call Center Representative

Customer Service Coordinator / Order Entry

Customer Service Representative

I want to receive the latest job alert for customer service representative in san pedro

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected