Customer Service Representative Member Service Call Center

Customer Service RepresentativeOnly qualified Customer Service Representative candidates located near the Renton, WA area are to be considered for the position. This 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 EducationHigh School Diploma or equivalentRequired Qualifications/Skills/ExperienceMinimum (1) to (2) years of call center or customer service experienceStrong communication and customer service skillsComfortable working weekends and late shifts up to 9:30 PMMust have hard-wired internet connection (Wi-Fi not accepted)Must have strong internet speed and a quiet workspaceAbility to follow attendance requirements (no time off during training and first 90 days)Preferred ExperienceHealthcare-related experience preferredOverviewThe 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 standards.Job SummaryResponsible 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 concerns.Job ResponsibilitiesHandle member inquiries including facility, billing, eligibility, benefits, ID cards, and complaintsRespond to complex calls across multiple service areas including Member Core, Member Advanced, Medicare, and Premium BillingDocument all interactions accurately and follow established proceduresCoordinate with internal departments and external partners to resolve issuesEvaluate situations and determine appropriate course of action for resolutionMaintain compliance with organizational policies and confidentiality standardsComplete required training and effectively use tools to access informationSupport departmental goals such as call handling, first call resolution, and member satisfactionPerform other relevant duties as requiredAdditional DetailsLocation: 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 terminationIndustry: Healthcare / Customer Service