This is a Fully Remote Job
About Our Client:
This organization operates globally in the healthcare sector, focusing on improving health outcomes by connecting individuals to care, pharmacy benefits, data, and resources. It addresses challenges in health optimization by leveraging technology and a broad network to support millions in achieving better health.
About the Opportunity:
The SENIOR CUSTOMER SERVICE REPRESENTATIVE plays a crucial role in delivering compassionate and effective support to customers. This position handles a high volume of calls daily, providing guidance and resolving issues while supporting team members as a resource. The role contributes directly to enhancing customer experience and ensuring service integrity.
Responsibilities:
- Review and research healthcare claim calls from providers using multiple systems
- Verify data necessary for claim processing
- Listen actively and document customer issues accurately
- Communicate clearly with providers to resolve issues
- Meet established performance goals for efficiency, accuracy, quality, and attendance
- Handle incoming calls from members regarding benefits, billing, authorizations, and explanations of benefits
Requirements:
- High School Diploma, GED, or equivalent experience
- At least 18 years old
- One year of work-at-home experience
- One year of call center experience
- Proficiency with computers and ability to learn complex systems
- Flexibility to work full-time 40 hours per week within 7:00 am - 8:00 pm CST or MST, Monday through Friday, with occasional overtime
Pay Range and Compensation Package:
- Hourly pay ranges from $18 to $32 per hour based on experience and other factors
Benefits & Perks:
- Comprehensive benefits package including 401(k) contributions
Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.