Customer Service Agent II

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

📋 Description

• Handle and address incoming phone calls for customer support

• Make outbound calls as requested

• Record all calls in the ticketing and tracking systems

• Address customer inquiries and provide information within stipulated time frames

• Serve as a liaison between the claims department and service providers

• Investigate customer claims using primary payor systems

• Deliver the highest level of customer service on every interaction

• Execute additional duties as assigned or necessary

⛳️ Requirements

• High school diploma is mandatory

• 2–3 years of experience in healthcare claims operations or within a call center environment

• Familiarity with Medicare and Medicare Advantage plans is preferred

• In-depth knowledge of covered plan benefits

• Exceptional verbal and written communication abilities

• Strong attention to detail and problem-solving capabilities

• Basic proficiency in Microsoft Office applications, particularly Word and Excel

• Capability to work across multiple time zones in a hybrid or remote work setting

• Candidates may need to undergo a pre-employment criminal background check

🏝️ Benefits

• May involve travel based on company requirements

• Reasonable accommodations for individuals with disabilities

• Commitment to equal opportunity and workforce diversity