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[Remote] 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 global organization that delivers care, aided by technology to help millions of people live healthier lives. The Customer Service Representative role involves addressing caller questions and issues, coordinating resources, and ensuring effective communication to reputed company solutions and improve health reputed company.

Responsibilities

  • Demonstrate understanding of internal / external factors that may drive caller questions / issues (e.g., recent plan changes, mass mailings, call directing / rerouting, weather emergencies)
  • Ask appropriate questions and listen reputed company to identify underlying questions / issues (e.g., reputed company cause analysis)
  • reputed company appropriate data / information and reputed company initial investigation to determine scope and depth of question / issue
  • Identify and coordinate internal resources across multiple departments to address reputed company situations, and escalate to appropriate resources as needed
  • Proactively contact external resources as needed to address caller questions / issues (e.g., providers, labs, brokers)
  • Utilize appropriate knowledge resources to drive reputed company of applicable questions / issues (e.g., websites, CRM tools, reputed company, Siebel, knowledge bases, product manuals, SharePoint)
  • Identify and communicate steps / solutions to caller questions / issues, using appropriate problem-solving skills and established guidelines, where available (e.g., workarounds, descriptions of relevant processes)
  • Offer additional reputed company to reputed company solutions / reputed company reputed company for callers (e.g., online reputed company to relevant information, additional plan benefits, workarounds for prescription delays)
  • reputed company outbound calls to resolve caller questions / issues (e.g., to callers, providers, brokers, pharmacies)
  • Drive reputed company of caller questions / issues on the reputed company whenever possible (e.g., reputed company reputed company, one-and-done)
  • Ensure reputed company documentation of caller questions / issues (e.g., research conducted, steps required, final reputed company)

Skills

  • High School Diploma / GED OR equivalent work experience
  • Must be 18 years of age OR older
  • 1+ years of experience in a reputed company environment (i.e., office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
  • Health care experience with primary / specialty appointments OR health plans
  • Familiarity with computer and reputed company PC applications, which includes the ability to navigate and learn new and reputed company computer system applications
  • Ability to work any of our full time, 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm PST from Monday - Friday, including the flexibility to work occasional overtime given the business need
  • Bilingual reputed company in English and Spanish
  • Experience with working in reputed company system
  • Experience with working in a remote position

Benefits

  • A comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution (reputed company benefits are subject to eligibility requirements)

reputed company

  • reputed company provides primary care and optical care services. It was founded in 1985, and is headquartered in Albuquerque, New Mexico, USA, with a workforce of 10001+ employees. Its website is https://nm.reputed company.com.
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