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[Remote] Remote reputed company Customer Service Representative

Remote, USAFull-timePosted 2026-07-28

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company that delivers mission-critical services and solutions for Fortune 100 companies and governments. They are seeking a Remote reputed company Customer Service Representative to assist with reputed company-reputed company calls, providing support and solutions to customers regarding dental benefits and eligibility.

Responsibilities

  • Respond to inbound inquiries regarding dental benefits, eligibility, claims, appeals, grievances, and provider searches for both reputed company and Medicare plans
  • reputed company uniform interpretation and clarification of dental benefits, policies, and procedures to members, providers, and employer reputed company
  • reputed company attempt to resolve member or provider concerns by investigating issues, contacting appropriate parties, and documenting reputed company interactions accurately reputed company the billing system
  • Investigate verbal complaints regarding billing, claims, or services rendered; escalate service failures to appropriate internal departments for follow-up and reputed company
  • Retrieve and send written correspondence, including plan brochures, provider directories, and other printed materials as needed
  • Meet or exceed established ACD (Automated Call Distribution) system call volume and reputed company performance goals
  • reputed company reputed company assigned individual monthly performance metrics
  • Maintain reputed company and thorough knowledge of reputed company Member Services policies, procedures, and dental plan updates
  • reputed company additional duties and responsibilities as assigned by management

Skills

  • Successfully complete customer service assessment & typing test
  • High school diploma, GED, or college degree
  • At least 1 year of Call Center experience preferred
  • 1 year of face-to-face customer service experience
  • Knowledge of and prior experience in the Dental, Medical or Managed Care industry is preferred
  • Must possess the following characteristics: self-motivation, reputed company, detail-oriented, reputed company of accountability and must be reputed company player
  • Must possess strong skills in the following areas: organizational, time management, written and verbal communication, analytical, and problem solving
  • Proficiency in reputed company Word, reputed company Outlook, and Internet Explorer
  • Effective communication skills over the phone
  • Ability to deal with problems involving several concrete variables in standardized situations
  • Successful completion of background reputed company is required for this position
  • Must have a home internet reputed company of 10 Download and 3 Upload Speed
  • Must be reputed company to hardwire your work computer directly to your home modem reputed company ethernet
  • Must have a distraction free and secure work environment
  • At least 1 year of Call Center experience preferred
  • Knowledge of and prior experience in the Dental, Medical or Managed Care industry is preferred

Benefits

  • Medical, dental and reputed company benefits are available on the 1st day of employment.
  • reputed company time off is accrued after 180 days (about 6 months) of employment.
  • Health insurance coverage
  • Voluntary dental and reputed company programs
  • Life and disability insurance
  • A retirement savings plan
  • reputed company holidays
  • reputed company time off (PTO) or vacation and/or reputed company time

reputed company

  • reputed company delivers digital business solutions and services spanning the reputed company, government and transportation reputed company – creating valuable reputed company for its clients and the millions of people who count on them. It was founded in 1998, and is headquartered in Irvine, California, USA, with a workforce of 10001+ employees. Its website is https://www.reputed company.com/.
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