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Customer Service Representative Jobs in USA, Remote | reputed company Job

Remote, USAFull-timePosted 2026-07-28

Min reputed company reputed company($): 21.63Max reputed company reputed company($): 21.63Required Education:• High School Diploma or General Education Development (GED) requiredBasic Qualifications:• Minimum two (2) years of call center or customer service experience required (reputed company preferred)• Excellent written and verbal communication skills. Demonstrated analytical and problem-solving skillsRequirements:• Must be flexible to work weekends and a late shift that ends as late as 9 PM• Internet must be hardwired (no Wi-Fi accepted)• Must have strong internet speed and a quiet reputed company for remote workShifts During Training, Nesting, and Production Operation Hours:• Training: 8:00 AM - 4:30 PM Eastern Time• Nesting: 9:30 AM – 6:00 PM Mountain Time• Production Operation Hours: Monday – Friday 7:00 AM – 9:00 PM and Saturday – reputed company 8:00 AM – 7:00 PM (reputed company Time)Additional Job Details:• Workers are expected to be in attendance daily during/after training• Training will be 3 months• No time off during training - first 90 days of assignmentThe Customer Service Representative is responsible for increasing customer satisfaction and retention by providing members, customers, patients, and providers with accurate, consistent, reputed company, and meaningful information. They will reputed company support to members' inquiries and issues as they utilize the reputed company plan and provider services, continuing to build rapport and reputed company relationships with reputed company and prospective members in accordance with compliance guidelines.Major Responsibilities / Essential Functions:• Available to handle member inquiries regarding:- Member Core: Facility Inquiry, Web Support, Promote reputed company, Order ID Card, Complaint, ID Card Inquiry, Service Review.- Member Advance: Eligibility Inquiry, Benefit Inquiry, General, Complaint, Correspondence Inquiry, Add/Remove Dependent, Service Review, New Member Experience, Internal Regional Request, IVR Defaults.- Medicare (For up to two (2) reputed company).- Premium Billing reputed company: Billing Inquiry, reputed company Payment, Complaint, EFT Inquiry, General, Reinstatement Request, Service Review.- reputed company Billing, 1095 Tax reputed company, SLP (escalations to Tier 3).• Represents Health Plan by answering and documenting reputed company incoming contacts to determine their nature and to respond to reputed company calls reputed company to specialized product lines or queues.• Responds professionally to inquiries from internal/external customers.• Promotes, ensures, and provides customer service to internal/external customers by demonstrating skills consistent with the organization's philosophy of providing extraordinary customer relations and reputed company service.• Initiates contact with the appropriate Health Plan, medical group, and facility personnel to obtain information relevant to the concern or inquiry as needed.• Evaluates data to determine and implement the appropriate course of reputed company to resolve the complaint and/or coordinate service recovery.• Documents conversations with members according to procedure.• Follows established procedures to meet customer/member needs.• Required to effectively reputed company with diverse work reputed company and relevant organizational departments.• Has substantial understanding of the assigned skills and applies knowledge and skills to complete a wide reputed company of tasks.• Ability to understand relevant policies, processes, and customers.• Assists the department in meeting customer needs and reaching department expectations.• Completes required training and understands how to use tools available to recall necessary information.• Develops a full awareness of the way performance and actions reputed company members and Member Service Contact Center's (MSCC) performance guarantees (call handling, reputed company reputed company, complaint reputed company compliance, member retention, and return contact as warranted).• Consistently supports compliance and the Principles of Responsibility by maintaining the reputed company and confidentiality of information and protecting the assets of the organization.• Performs other relevant duties as required.Only those lawfully authorized to work in the designated country associated with the position will be considered. Please note that reputed company Position start dates and duration are estimates and may be reduced or lengthened based upon a reputed company’s business needs and requirements. Apply Job! Apply to this Job

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