
Customer Service Representative
Posted 3 days ago

Posted 3 days ago
This is a fully remote position, open to applicants in California.
• Engage actively with customers, champion their needs, comprehend their requirements, and offer guidance and assistance.
• Efficiently address customer inquiries and concerns while meticulously documenting all interactions.
• Inform customers about benefits and available resources, aiding them in navigating their choices.
• Anticipate customer requirements and deliver proactive solutions to enhance their satisfaction.
• Collaborate with colleagues and other departments to resolve service issues and improve overall outcomes.
• Maintain records of customer correspondence and ensure the confidentiality of patient information.
• Employ AI-enabled tools during training and service processes to boost efficiency, support problem-solving, and enhance the customer experience.
• Adhere to established policies, procedures, and the CVS/Aetna Code of Conduct.
• Investigate issues, document results, address inquiries, and achieve high levels of customer satisfaction.
• Performance is evaluated based on customer satisfaction, first-call resolution, quality and accuracy, empathy, schedule adherence, and alignment with CVS/Aetna values.
• A minimum of 6 months of experience in customer service.
• Basic proficiency in computer skills.
• Must be a resident of California.
• High School Diploma or equivalent certification.
• Compliance with workplace model and potential telework agreements.
• High-speed internet connection with a minimum of 100 Mbps download and 25 Mbps upload speeds.
• Direct wired Ethernet connection to the modem/router; hotspots, satellite, fixed wireless, and WiFi connections are not acceptable.
• Willingness to utilize technology and AI as essential support tools.
• Flexibility to work specific hours as required.
• Preferred: Over 1 year of customer service experience in a contact center environment.
• Preferred: More than 1 year of experience in claims, provider, dental, medical, or other relevant healthcare roles.
• Familiarity with Microsoft Office is preferred.
• Proven empathy and strong communication skills.
• A respectful and kind demeanor in all interactions.
• Strong problem-solving and decision-making capabilities.
• Ability to manage various resources and tasks effectively in a fast-paced setting.
• Orientation for new colleagues.
• Comprehensive training lasting from 4 to 18 weeks.
• A supportive and inclusive culture that promotes continuous learning and growth.
• Ongoing coaching and mentoring support.
• Provision of necessary equipment and resources to perform assigned tasks.
• Medical insurance coverage.
• Dental insurance coverage.
• Vision insurance coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs.
• Additional resources supporting physical, emotional, and financial well-being, subject to eligibility.
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