Customer Service Representative Member Service Call Center

Customer Service RepresentativeThis role requires completing an online assessment using a desktop or laptop computer with a hard-wired internet connection (Wi-Fi is not permitted). You'll also need access to a quiet, distraction-free space to complete the assessment. Do you have access to a desktop or laptop, a hard-wired internet connection, and a quiet place where you can complete the assessment?Required Education:High School Diploma or equivalentRequired Qualifications/Skills/Experience:Minimum (1) to (2) years of call center or customer service experience Strong communication and customer service skills Comfortable working weekends and late shifts up to 9:30 PM Must have hard-wired internet connection (Wi-Fi not accepted) Must have strong internet speed and a quiet workspace Ability to follow attendance requirements (no time off during training and first 90 days)Preferred Experience:Healthcare-related experience preferredOverview:The Customer Service Representative supports members, customers, patients, and providers by delivering accurate, timely, and consistent information Works in a high-volume call center environment handling complex inquiries Focuses on improving customer satisfaction and retention while maintaining compliance standardsJob Summary:Responsible for handling inbound member inquiries and resolving issues related to health plan services Builds rapport with members and provides high-quality customer service Documents interactions and ensures timely resolution of concernsJob Responsibilities:Handle member inquiries including facility, billing, eligibility, benefits, ID cards, and complaints Respond to complex calls across multiple service areas including Member Core, Member Advanced, Medicare, and Premium Billing Document all interactions accurately and follow established procedures Coordinate with internal departments and external partners to resolve issues Evaluate situations and determine appropriate course of action for resolution Maintain compliance with organizational policies and confidentiality standards Complete required training and effectively use tools to access information Support departmental goals such as call handling, first call resolution, and member satisfaction Perform other relevant duties as requiredAdditional Details:Location: Remote (local to Renton, WA) Remote Options: 100% Remote Parking Situation: Free Parking Start Date: 09/14/2026 Equipment Pickup: TBD Training: 3 months; no time off allowed Attendance Requirement: No time off during training, nesting, and first 90 days (including appointments); attendance violations may result in termination Industry: Healthcare / Customer Service