Top 2100 Customer service representative Jobs in Seal Beach 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
Customer Service Associate
PropertyRate, LLC —Orange, CA
- $18.50 - $21.00 an hour
- 8 hour shift
- Hybrid work
- Background check
- Google Workspace
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
Bilingual (Spanish) Call Center Sales Support/Customer Service Representative
Blueprint Inc. —Seal Beach, CA
- Up to $63,500 a year
- Weekends as needed
- Background check
- Spanish
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
Customer Care
Noritz America —Fountain Valley, CA
- $20 - $25 an hour
- Monday to Friday
- Pass drug screening
- Office
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Freight Forwarding Operations & Customer Service Agent - Ocean Exports
Syncreon —Long Beach, CA
- $57,000 - $60,000 a year
- Background check
- Mid-level
- 3 years
Quick Apply
CSR - Customer Success Representative
Nuve Controls LLC —Tustin, CA
- $25 - $30 an hour
- Full-time
- Customer service
- English
- Residential
- Health insurance
- Dental insurance
Quick Apply
7d
Enrollment Specialist (Part-Time) (Fully-Remote) (PST Hours)
Phamily —Los Angeles, CA
- $21 an hour
- Part-time
- Remote
- Organizational skills
- Communication skills
- Entry level
Quick Apply
13d
Customer Care Agent
Dermalogica LLC —Carson, CA
- $22 an hour
- Full-time
- Hybrid work
- Communication skills
- Entry level
- Disability insurance
- Health insurance
Quick Apply
Customer Experience Specialist
Twitch —Irvine, CA
- $66,300 - $115,400 a year
- Google Workspace
- Research
- Mid-level
- AD&D insurance
- Disability insurance
Customer Care Agent
Long Beach Transit —Long Beach, CA
- Weekends as needed
- Spanish
- Sales
- Office
Quick Apply
Creative Operations Coordinator
Picture This Framing Inc. —Fullerton, CA
- $30 - $36 an hour
- Full-time
- Background check
- Merchandising
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
6d
Customer Service Associate
TruAbutment Inc. —Irvine, CA
- $36,000 - $45,000 a year
- Full-time
- Business development
- In-person
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Customer Service Representative
Fasttrack Relief —Newport Beach, CA
- $60,000 - $180,000 a year
- Full-time
- Spanish
- Mid-level
- Typing
- Opportunities for advancement
- Flexible schedule
Quick Apply
Customer Service Sales Team Lead
Visionary Pursuits —Long Beach, CA
- $22 - $26 an hour
- Part-time
- Background check
- Customer service
- High school diploma or GED
- 401(k)
- Employee discount
Quick Apply
7d
Call Center Representative I
TaxRise —Irvine, CA
- $22 - $23 an hour
- Overtime
- Background check
- Financial services
- In-person
- Paid training
- Health insurance
Quick Apply
6d
Customer Service Representative (Sales)
Azara Branding —Long Beach, CA
- $4,192.50 - $4,837.50 a month
- Urgently hiring
- In-person
- Communication skills
- Entry level
Quick Apply
Call Center Representative
CR&R Incorporated —Stanton, CA
- $21 an hour
- Overtime
- Spanish
- English
- Residential
Quick Apply
Vet Receptionist/Customer service supervisor
Family Animal Hospital —Costa Mesa, CA
- From $23 an hour
- Full-time
- Mid-level
- Supervising experience
- Organizational skills
Quick Apply
9d
Call Center Representative II
TaxRise —Irvine, CA
- $24 - $25 an hour
- Overtime
- Background check
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply
5d
Customer Service Representative (CSR)
SoCal Consulting Group —Buena Park, CA
- $950 - $1,350 a week
- Full-time
- In-person
- Communication skills
- Entry level
Quick Apply
2d

I want to receive the latest job alert for customer service representative in seal beach ca

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 seal beach ca

Customer Service Representative jobs in Irvine, CA

Operations Coordinator jobs in Fullerton, CA

Call Center Representative jobs in Stanton, CA

Member Services Representative jobs in Long Beach, CA

Sales Consultant jobs in Orange County, CA

Customer Service Team Lead jobs in Long Beach, CA

Customer Service Representative jobs in Long Beach, CA

Call Center Representative jobs in Irvine, CA

Customer Service Representative jobs in Buena Park, CA

Customer Service Representative jobs in Orange, CA

Enrollment Specialist jobs in Los Angeles, CA

Customer Service Representative jobs in Arizona

Customer Service Representative jobs in Tampa, FL

Child Protective Service jobs in Seattle, WA

Customer Service Representative jobs in Glen Burnie, MD

Customer Service jobs in Baton Rouge, LA

Customer Service Representative jobs in Mesa, AZ

Clinical Research Coordinator jobs in Rochester, NY

Operations Manager jobs in San Diego, CA

Clinical Operations Mental Health jobs in Remote

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 seal beach ca

Member Service Representative

Customer Service Associate

Bilingual (Spanish) Call Center Sales Support/Customer Service Representative

Customer Care

Freight Forwarding Operations & Customer Service Agent - Ocean Exports

CSR - Customer Success Representative

Enrollment Specialist (Part-Time) (Fully-Remote) (PST Hours)

Customer Care Agent

Customer Experience Specialist

Customer Care Agent

Creative Operations Coordinator

Customer Service Associate

Customer Service Representative

Customer Service Sales Team Lead

Call Center Representative I

Customer Service Representative (Sales)

Call Center Representative

Vet Receptionist/Customer service supervisor

Call Center Representative II

Customer Service Representative (CSR)

I want to receive the latest job alert for customer service representative in seal beach ca

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected