[Remote] Customer Service Representative, Remote (Must live in Albuquerque, NM)

Note: The job is a remote job and is open to candidates in USA. Confidential is seeking a Customer Service Representative who will provide exceptional support and service to meet the needs of the organization's members and providers. This role involves resolving inquiries, addressing needs efficiently, and embodying the organization’s values in every interaction.


Responsibilities

  • Deliver outstanding service across multiple communication channels (phone, chat, email, and non-phone tasks) to support members and providers, including Medicaid, Medicare, and Marketplace business across various states and products.
  • Conduct health assessments and satisfaction surveys related to member/provider experiences.
  • Ensure accurate documentation of all relevant details regarding member or provider inquiries.
  • Maintain consistent attendance and work scheduled shifts, including breaks and lunches, with the potential for overtime and weekend work as needed.
  • Build rapport quickly and empathetically respond to customer inquiries by identifying and surpassing their expectations.
  • Listen attentively, capture essential information, and recognize the needs or concerns of members or providers.
  • Achieve or exceed personal performance targets for call quality, attendance, adherence, and other contact center goals.
  • Actively collaborate and engage with internal and external teams as necessary.
  • Take ownership of resolving issues in real-time or through timely follow-ups with members and/or providers.
  • Assist providers with basic inquiries regarding member eligibility, covered benefits, the Provider Portal, and the status of claims.
  • Communicate professionally and effectively in various settings.

Skills

  • 1-3 years of experience in sales or customer service in a high-volume, fast-paced environment
  • Associate’s degree or equivalent combination of education and experience
  • 1-3 years of relevant experience
  • Microsoft Office, Salesforce, CRM Systems, Microsoft Teams, Video Conferencing

Education Requirements

  • High School Diploma or equivalent combination of education and experience

Benefits

  • 401(k)
  • Dental insurance
  • Health insurance
  • On-the-job training
  • Paid time off
  • Vision insurance
  • Work from home

Company Overview

  • Disclaimer : We are a community, where recruiters & job seekers as members connect for confidential roles. It was founded in 2024, and is headquartered in Gurgaon, Haryana, IND, with a workforce of 2-10 employees. Its website is https://confidential.careers.

    • Back to blog