Customer Service Representative I – Commercial Enrollment

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

📋 Description

• Address customer issues and deliver relevant education and guidance.

• Ensure customer satisfaction while delivering exceptional service.

• Attain expertise in two or more specialties within a specific line of business.

• Engage in cross-training and enhance procedures within the Customer Service team.

• Offer assistance on intricate matters to customer service representatives.

• Oversee complex caseloads while achieving production and quality benchmarks.

• Coordinate and allocate tasks among team members.

• Act as a liaison between members and providers to address claims, benefits, and eligibility issues.

• Function as the main point of contact for members, providers, and colleagues.

• Sustain relationships with members and providers through phone interactions, written communication, and in-person visits.

• Examine concerns and issues to guarantee accurate information dissemination.

• Resolve inquiries and concerns from both members and providers.

• Build and sustain relationships with members and providers.

• Respond to online requests and emails from both internal and external stakeholders as necessary.

⛳️ Requirements

• High School Diploma or Equivalent (GED) (Required).

• At least 1 year of experience in customer service (Required).

• Strong communication skills.

• Proficient in customer retention strategies.

• Excellent customer service abilities.

• A quiet, dedicated, private workspace at home, free from distractions.

• Adequate space for equipment provided by the employer.

• A cable modem internet connection; DSL, wireless cellular, and satellite services are not acceptable.

• Minimum download speed of 75 Mbps.

• Minimum upload speed of 25 Mbps.

• Ping must be less than 150 ms.

• Jitter must be less than 30 ms.

• Ethernet connection is mandatory; Wi-Fi is allowed only when secured with a VPN.

• Capability to adhere to organizational policies and procedures.

🏝️ Benefits

• Healthcare benefits available for both full-time and part-time roles from the first day.

• Vision insurance.

• Dental insurance.

• Benefits for domestic partners.

• A collaborative, cooperative, and collegial work environment.

• Employer-furnished equipment, such as monitors, keyboards, and other peripherals.

• Flexible work-from-home arrangement.