Call Center Representative
We are seeking a dedicated and compassionate Call Center Representative to join our team. In this role, you will deliver a high-quality service experience by providing accurate, empathetic, and efficient support to participants and external partners. You will serve as a key point of contact, ensuring every interaction is handled with professionalism, courtesy, and care. Key Responsibilities Develop and maintain a strong working knowledge of benefit plan provisions, eligibility requirements, and claims processes Respond promptly and accurately to incoming phone calls, emails, written correspondence, and in-person inquiries Explain claim payments, clarify denials, verify eligibility and benefits, and quote applicable payment amounts Research and resolve eligibility or claim-related issues in collaboration with internal teams and external vendors Escalate complex participant concerns to appropriate team members for resolution Accurately document all interactions within the customer service system Process enrollment forms and other related documentation Navigate internal and external systems to provide accurate website and plan information Monitor and manage inbound call queues and voicemail systems Assist with special projects and additional administrative tasks as assigned Qualifications Minimum of 1 year of customer service experience High School Diploma or equivalent required Typing proficiency of at least 40 words per minute Proficiency in Microsoft Office applications Strong written and verbal communication skills Demonstrated initiative, dependability, and commitment to service excellence Preferred Attributes Ability to manage multiple priorities in a fast-paced environment Strong problem-solving and investigative skills Demonstrates empathy, patience, and professionalism in all interactions Ability to collaborate effectively with internal departments, vendors, and stakeholders Consistent attendance and reliability $23 - $30 a year
We are seeking a dedicated and compassionate Call Center Representative to join our team. In this role, you will deliver a high-quality service experience by providing accurate, empathetic, and efficient support to participants and external partners. You will serve as a key point of contact, ensuring every interaction is handled with professionalism, courtesy, and care. Key Responsibilities Develop and maintain a strong working knowledge of benefit plan provisions, eligibility requirements, and claims processes Respond promptly and accurately to incoming phone calls, emails, written correspondence, and in-person inquiries Explain claim payments, clarify denials, verify eligibility and benefits, and quote applicable payment amounts Research and resolve eligibility or claim-related issues in collaboration with internal teams and external vendors Escalate complex participant concerns to appropriate team members for resolution Accurately document all interactions within the customer service system Process enrollment forms and other related documentation Navigate internal and external systems to provide accurate website and plan information Monitor and manage inbound call queues and voicemail systems Assist with special projects and additional administrative tasks as assigned Qualifications Minimum of 1 year of customer service experience High School Diploma or equivalent required Typing proficiency of at least 40 words per minute Proficiency in Microsoft Office applications Strong written and verbal communication skills Demonstrated initiative, dependability, and commitment to service excellence Preferred Attributes Ability to manage multiple priorities in a fast-paced environment Strong problem-solving and investigative skills Demonstrates empathy, patience, and professionalism in all interactions Ability to collaborate effectively with internal departments, vendors, and stakeholders Consistent attendance and reliability $23 - $30 a year