Healthcare CSR - Onsite

ONSITE IN SALEM, OREGON

Pay Rate: $19/hr

Professional Summary:

The Medicare Advantage Customer Service Representative plays a vital role in delivering exceptional service to Medicare Advantage members. This position requires a compassionate, detail-oriented individual who can effectively resolve inquiries related to coverage, claims, and benefits. Operating in a high-volume call center environment, the representative must demonstrate professionalism, empathy, and efficiency while advocating for members and ensuring their concerns are addressed promptly and accurately.

Key Responsibilities:

• Provide outstanding customer service to all Medicare Advantage members via phone and other communication channels.
• Respond to inquiries regarding coverage, claims, and policy provisions with clarity and accuracy.
• Interpret and explain benefits and policy details across all Medicare Advantage products.
• Conduct thorough research and follow-up to ensure timely and effective resolution of member issues.
• Maintain a courteous and professional demeanor in a fast-paced, high-volume call center environment.
• Investigate and triage complex customer concerns, escalating when necessary to ensure member satisfaction.
• Advocate for members by clearly explaining benefits and resolving issues with empathy and patience.

Qualifications:

• Previous experience in a call center environment with an understanding of performance metrics and expectations.
• Strong computer literacy and ability to navigate multiple systems simultaneously.
• Excellent phone etiquette and a professional, courteous communication style.
• Proven ability to resolve customer service issues efficiently and effectively.
• High level of empathy and emotional intelligence; ability to connect with members and understand their needs.
• Prior experience in the healthcare or insurance industry is preferred.
• High school diploma or equivalent required; additional education or certifications in healthcare or customer service are a plus.

Shift: M-F, Must be available until 8pm during open enrollment months (October- March) will be required to work weekends and will have the opportunity for OT

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