Remote Customer Service Representative

CAN SIT REMOTE OUT OF OREGON, WASHINGTON, UTAH, AND IDAHO

Professional Summary: The Customer Service Professional I serves as the key liaison between the corporation and its members, providers, and other stakeholders. This role involves delivering exceptional and caring service through recorded phone lines by providing accurate information, education, and assistance regarding benefits, claims, and eligibility. This position plays a critical role in retaining customers and contributing to the corporation's overall success by ensuring positive interactions and maintaining high customer satisfaction standards.

Key Responsibilities:

• Act as the primary contact for members, providers, agents/brokers, attorneys, and other customer representatives to address inquiries effectively.
• Provide accurate and timely information regarding benefits, claims, and eligibility via recorded phone calls.
• Demonstrate a caring and empathetic approach in all interactions to foster positive relationships with customers.
• Efficiently multitask using web-based tools in a Windows environment, managing information across multiple screens while speaking with members.
• Maintain strict confidentiality and professionalism when handling sensitive information related to claims and benefits.
• Comply with all corporate policies during Cambia work hours, ensuring complete dedication to assigned tasks.
• Operate corporation-provided computer equipment connected to approved "hard-wired" Internet Service Providers, avoiding the use of satellite or mobile WiFi connections.
• Collaborate with internal teams as needed to resolve complex inquiries and ensure seamless service delivery.
• Uphold corporate values and customer-first principles in every interaction, ensuring member and provider satisfaction.

Qualifications:

• High school diploma or equivalent.
• Minimum of one year of customer service experience in a call center environment or a field requiring extensive customer interaction, such as insurance, banking, or medical office settings.
• Proficient PC skills with prior experience in a Windows environment; ability to type at least 30 words per minute with 95% accuracy.
• Previous experience using Salesforce and/or Radar preferred but not required.
• Demonstrated knowledge of medical terminology and claims processing is an advantage.
• Strong mathematical skills with the ability to apply calculations effectively.
• Excellent communication skills, both oral and written, with proficiency in punctuation, spelling, grammar, and proofreading.
• Commitment to task-focused work during assigned shifts without engagement in outside employment or caregiving activities.
• Ability to adapt to technology requirements, including the use of corporation-provided equipment and approved Internet connections.

Shift: Monday- Friday 8am- 4:30pm for 15-week training, then will be entered in a shift bid where weekdays can end as late as 8pm, possible Saturday shifts from 8am- 4:30pm