Colorado Customer Service Representative II

To enhance customer satisfaction and retention, the full-time Colorado Customer Service Representative II will manage complex inquiries and issues from members, customers, patients, and providers while working remotely from home within Colorado. Key responsibilities: Handle member inquiries related to eligibility, benefits, billing, and claims, ensuring accurate and timely responses Document conversations and coordinate with relevant health plan personnel to resolve customer concerns effectively Support compliance with organizational policies and procedures while promoting exceptional customer service standards Required qualifications: Minimum of 2.5 years of customer service experience, including 6 months as a Customer Service Representative I in a shared service environment High School Diploma or General Education Diploma (GED) required Must pass department-administered Tier II Assessment with a minimum score of 70% and knowledge checks during training Strong familiarity with systems used within the Member Service Contact Center Ability to manage work independently with minimal direction