Call Center Representative

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Assist health plan members by offering guidance, education, and solutions related to benefits, claims, and associated inquiries.

• Address incoming inquiries from members and providers.

• Manage outbound service calls for members.

• Strive for First Call Resolution.

• Handle inquiries through phone, email, chat, fax, and web platforms.

• Ensure all interactions are documented accurately.

• Make outbound service calls as necessary.

• Provide professional and compassionate customer service.

⛳️ Requirements

• Must be a resident of Pennsylvania.

• Required to live within a 3-hour driving radius of the Harrisburg Metro Area (essential for initial equipment installation).

• Applications from out-of-state candidates will not be accepted.

• Bilingual proficiency in Spanish is required.

• High school diploma or GED is mandatory.

• An associate or college degree is preferred.

• At least 2 years of experience in customer service or call center roles is necessary.

• Strong typing and written communication abilities are essential.

• Capability to make independent decisions is required.

• Proficiency in Microsoft Office is necessary; experience with Excel is a plus.

• Ability to comprehend complex health plan information is important.

• A strong commitment to reliability and long-term employment is expected.

🏝️ Benefits

• Comprehensive paid training with mentorship.

• A probationary period of 720 hours of active work before eligibility for paid time off and holidays.