Customer Service - Customer Service Representative Provider Connections 105-1089

Responsible for being the first point of contact for all membership related questions, requests and concerns and for providing outstanding service to our customers.

You will answer queries regarding customer benefits, eligibility, PCPs, claims and other questions.

You will handle complaints, troubleshoot problems and provide resolutions in a professional and polite manner to ensure first contact resolution and customer satisfaction.

The ideal Customer Service Representative will be customer focused, detail oriented and results driven.

The most successful Customer Service Representatives demonstrate the following characteristics: polite, accurate, knowledgeable, able to work well within a team, learning agility, flexible and easily adapts to change.

• Process a high volume of incoming inquiries regarding multiple products from members, providers, billing companies, individuals with legal representation, employer groups, and other insurance companies.
• Strive to achieve first call resolution by communicating accurate information efficiently and timely thereby creating a positive experience for the member.