Customer Service Representative II - CO

Providing exceptional support to members and customers, the full-time remote Customer Service Representative II - CO will manage complex inquiries related to health plan services, billing, and claims while ensuring compliance with organizational guidelines. Key responsibilities: Handle member inquiries regarding eligibility, benefits, billing, and claims with a focus on customer satisfaction and retention Document conversations and coordinate with relevant health plan personnel to resolve issues effectively Support compliance and maintain confidentiality while promoting extraordinary customer relations Required qualifications: Minimum of 2.5 years of customer service experience, including 6 months as a Customer Service Representative I High School Diploma or General Education Diploma (GED) required Must pass department-administered Tier II Assessment with a minimum score of 70% Strong knowledge of systems used within the Member Service Contact Center Ability to manage work with minimal direction and demonstrate analytical skills