NewCustomer Care Agent Mon-Fri 8am-4:30pm Vital Holdings LLCCustomer Care Agent Mon-Fri 8am-4:30pmBaltimore, MDData entry includes making computerized location changes, assigning customers new departments in the computer, and sending computer input to printer for printouts. While performing job duties, the employee is regularly required to talk, hear, read, and identify numbers for accurate order filling and receiving of material.
NewCustomer Service Tech II (IT Support Tech) System OneCustomer Service Tech II (IT Support Tech)Washington, DC$28.54–$28.54 / hourProvide second-level technical support for SEC personnel, resolving complex hardware, software, and connectivity issues that cannot be addressed at first contact. System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America.
NewPatient Care Coordinator Kaiser PermanentePatient Care CoordinatorGlen Burnie, MDThe PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utlization review and other members of the healthcare team to assure continuum of patient care progression for clinical and cost-effective outcomes. The PCC facilitates and coordinates with community providers and ambulatory case managers to assist with the appropriate level and transition of care for a safe discharge and preventing a re-admission.
Call Center Specialist Indotronix International CorporationCall Center SpecialistTowson, MD$24–$26 / hourJoin us to work on a team of critically-thinking, detailed-oriented people who support our clients and their employees with their retirement savings plans' operation. NWPS strives to provide an extraordinary work environment that supports the happiness and well-being of our staff, clients, and company.
Customer Care Advocate Zenith American SolutionsCustomer Care AdvocateSparks, MarylandWe are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide.
Customer Care Representative AdNet AccountNet, Inc.Customer Care RepresentativeBALTIMORE, MD$16–$16We provide customer and client support through a specialized energy efficiency team using call center technology, web chat, and established business processes within a paperless environment. As a Customer Service Representative, team members perform in a variety of areas focused on delivering customer experience within our clients' commercial energy business.
Customer Care Agent Mon-Fri 8am-4:30pm Vital Records ControlCustomer Care Agent Mon-Fri 8am-4:30pmBaltimore, MDData entry includes making computerized location changes, assigning customers new departments in the computer, and sending computer input to printer for printouts. Competencies: Ability to work on a team including with the Customer Service Manager and Director of Operations to ensure proper customer service is being delivered.
Customer Care Specialist Liberty PureCustomer Care SpecialistPhoenix, MDFull timeCustomer Service Excellence:Serve as the primary phone contact for clients, delivering exceptional service by addressing inquiries, resolving scheduling conflicts, and handling service-related concerns. Key Responsibilities:Phone-Based Scheduling & Coordination:Manage incoming and outgoing phone calls to schedule plumbing and water treatment system maintenance appointments for technicians.
EntryLevel | Customer Care Coordinator | Remote Aisles & AbroadEntryLevel | Customer Care Coordinator | RemoteBaltimore, MarylandRemote$40,000–$70,000 / yearWe are seeking a reliable and service-focused Customer Care Coordinator to support client communications and assist with coordination tasks. This role centers on providing timely support, managing inquiries, and ensuring a smooth and positive experience for clients throughout the process.
Customer Care Specialist Saia IncCustomer Care SpecialistLaurel, MD$21.65–$26.25 / hourRead, write, communicate and comprehend the English language in order to perform the various tasks of the job, including but not limited to: converse with co-workers and members of the general public, including customers; understand oral and written instructions as well as governmental regulations; respond to questions and inquiries from management and government representatives; and accurately complete various documents, reports and records required of the position. Handles inbound calls and emails, schedules appointments, and addresses inquiries on orders and deliveries.
Remote - Customer Care – Travel & Hospitality Destination CareersRemote - Customer Care – Travel & HospitalityBaltimore, MarylandRemote$40,000–$70,000 / yearKey Responsibilities:Assist clients in selecting and booking hotel accommodationsProvide accurate information on hotel amenities, pricing, and availabilityRespond promptly and professionally to client inquiries via phone, email, or online chatMaintain detailed and accurate records of client interactions and bookingsCollaborate with team members to ensure seamless client experiencesStay updated on hotel offerings, travel trends, and industry changesAttend virtual training sessions and team meetingsRequirements:Strong communication and customer service skillsFriendly, professional demeanor and positive attitudeComfortable working independently and managing time effectivelyBasic computer skills and a reliable internet connectionInterest in travel and helping clients plan memorable staysPrevious experience in customer service, hospitality, or sales is a plus but not requiredWhat We Offer:Flexible, remote work environmentFull training and access to industry resources and toolsSupportive team culture and mentorshipIncome-earning possibilities based on performanceExclusive travel discounts and perks through industry partnersPersonal and professional development opportunities$40,000 - $70,000 a yearWe may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. Job Title: Customer Care Representative – Travel & HospitalityJob Type: Flexible Schedule | Remote WorkAbout Us:We are a trusted travel planning company specializing in personalized vacations, hotel accommodations, cruises, and group travel.
Customer Care Rep Constellation Energy CorpCustomer Care RepBaltimore, MDBeginning May 7, 2025, candidates will need one of the following as identification in accordance of the Real ID ACT: Real ID, Passport, Visa, TWIC Card, to gain unescorted access. Cookies are used on this site to assist in continually improving the candidate experience and all the interaction data we store of our visitors is anonymous.
NewCustomer Care Coordinator Leidos Holdings IncCustomer Care CoordinatorEdgewood, MD$65,650–$118,675 / yearCustomer Relationship Management: Focus on building and maintaining long-term relationships with customers, often involving proactive outreach, personalized communication, and strategies for customer retention. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.
Car Care Customer Service & Sales Advisor AAA-Mid-Atlantic, Inc.Car Care Customer Service & Sales AdvisorColumbia, MD$22.65–$23.65 / hourAt ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. As an Automotive Service Advisor for AAA, you'll be the driving force behind our customers' exceptional experience, seamlessly coordinating their vehicle service needs with our skilled technicians in-shop.
U-Box Customer Care Representative (CDL) U-Haul International IncU-Box Customer Care Representative (CDL)Baltimore, MD$24–$26 / hourThe states in which U-Haul will decline to hire nicotine users are: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Pennsylvania, Texas, Utah, Vermont, Virginia, and Washington. Physical Demands: The work requires some physical exertion, such as long periods both indoors and outdoors while remaining stationary, traversing spaces, repositioning to reach and use tools, and moving a minimum of 50 lbs assisted or unassisted.
U-Box Customer Care Representative (CDL-A) U-Haul International IncU-Box Customer Care Representative (CDL-A)Hyattsville, MD$24–$26 / hourThe states in which U-Haul will decline to hire nicotine users are: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Pennsylvania, Texas, Utah, Vermont, Virginia, and Washington. Physical Demands: The work requires some physical exertion, such as long periods both indoors and outdoors while remaining stationary, traversing spaces, repositioning to reach and use tools, and moving a minimum of 50 lbs assisted or unassisted.
Customer Care Coordinator Wallenius WilhelmsenCustomer Care CoordinatorBaltimore, Maryland$48,400–$52,000 / year
Customer Engagement Advocate II (Customer Service) Lumen Solutions Group, Inc.Customer Engagement Advocate II (Customer Service)Baltimore, MDRemoteWe are seeking a Customer Engagement Advocate II to provide exceptional customer service and support to members, providers, and brokers in a fast-paced healthcare call center environment. This role is responsible for handling inquiries related to benefits, claims, eligibility, billing, and healthcare products while ensuring a positive customer experience.
Customer Engagement Advocate II (Customer Service) Lumen Solutions Group IncCustomer Engagement Advocate II (Customer Service)Baltimore, MDRemoteFull timeRole: Customer Engagement Advocate II (Customer Service) Location: 100% Remote Type: Contract-to-Hire (C2H) Job Description: We are seeking a Customer Engagement Advocate II to provide exceptional customer service and support to members, providers, and brokers in a fast-paced healthcare call center environment. Research and resolve inquiries related to: Medical Claims Benefits Eligibility Billing Coverage Questions Investigate claim issues and verify claim accuracy, eligibility, and liability information.
Customer Service Specialist I - Customer Service Center WesBanco IncCustomer Service Specialist I - Customer Service CenterBowie, MD$17.65–$20 / hourWesBanco has an excellent benefits package to include medical, dental, and vision, Health Care Flexible Spending, Dependent Care Flexible Spending, Transportation Fringe Benefit Plan, Group Life, Long Term Disability, Optional Life, access to voluntary benefit products such as Cancer, Term & Universal Life, Accident, Short-Term Disability and Critical Illness policies, and other ancillary benefit products. Assists customers with various computing environments, including both Apple and Android products, browsers and operating systems to support and promote our digital banking services on all supported devices.
Advocate, Customer Service II IconmaAdvocate, Customer Service IIBaltimore, MD$25.77–$28.77 / hour20% Uses knowledge of products or services by collecting and the contractual provisions that govern administration to provide customer information service and analyzing education, to interpret contractual language to the customer needs for the purpose of providing benefit utilization and limitations, to determine the need for managed care initiatives, and to administer all types of services to customers within the business segment through telephonic inquiries, written and/or electronic inquiries and claims adjustments, if applicable. 35% Provides first- level problem resolution to member, provider and broker inquiries via telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as liability, validate customer understanding of information and resolves issues based on applicable policies and procedures.
Customer Service Representative Williams-Sonoma, Inc.Customer Service RepresentativeBaltimore, MarylandRemote$15–$15Devices not acceptable:Tablet-based/convertible personal computers (i.e., Microsoft Surface, Surface Book), Chromebooks, Steam Decks and mobile phones (unless needed for two-factor authentication) are not acceptable. Versions of Windows provided via the Windows Insider program are not considered stable versions of Windows, and are therefore not suitable for production use.
Customer Service Representative - Behavioral Health (Monday-Friday 11:00AM-7:30PM EST) CVS Health CorpCustomer Service Representative - Behavioral Health (Monday-Friday 11:00AM-7:30PM EST)MD$17–$31.30 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. This role provides advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources.
Customer Service Representative I Versant Health Holdco IncCustomer Service Representative IBaltimore, MDAbility to identify and perform requirements relative to specialty services (including but not limited to student proof, prior approval, medically necessary contacts, special voucher/authorization processing, and requesting enrollment cards as well as out-of-network requirements) and/or order entry. The Customer Service Representative I responds to customer service inquiries including, but not limited to, benefit information and timely fulfillment of requests for Versant Health Membership, Providers and Client Representatives.
Customer Service Representative Chase Brexton Health Services IncCustomer Service RepresentativeBaltimore, MDRequire excellent verbal and written communication, professional telephone manner, interviewing and interpersonal skills to interact with patients, families, members of the health care team and external agencies. Compliance, Policy, and Procedure • Coordinate appointments for patients needing multiple types of healthcare services.
Bilingual Japanese Customer Service Representative CVS Health CorpBilingual Japanese Customer Service RepresentativeMD$17–$31.30 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. 1 year work experience with Windows-based applications like Windows, Microsoft Office, internet navigation, and email applications.
TRICARE Customer Service Rep-Alaska residents TriWest Healthcare AllianceTRICARE Customer Service Rep-Alaska residentsBaltimore, MDFull timeAccurately and professionally answer health care inquiries and provide resolutions to TRICARE beneficiaries & providers over the phone, chat, email or other written correspondence. • Effectively and professionally answer customer inquiries by taking ownership of issues, utilizing sound judgement and the tools at your disposal to resolve customer issues on the initial contact .
CS Specialist I - Customer Service Center WesBanco IncCS Specialist I - Customer Service CenterBowie, MD$17.65–$20 / hourWesBanco has an excellent benefits package to include medical, dental, and vision, Health Care Flexible Spending, Dependent Care Flexible Spending, Transportation Fringe Benefit Plan, Group Life, Long Term Disability, Optional Life, access to voluntary benefit products such as Cancer, Term & Universal Life, Accident, Short-Term Disability and Critical Illness policies, and other ancillary benefit products. Assists customers with various computing environments, including both Apple and Android products, browsers and operating systems to support and promote our digital banking services on all supported devices.
Advocate, Customer Service II ICONMA, LLCAdvocate, Customer Service IIBaltimore, MDRemote$25.77–$28.77 / hour20% Uses knowledge of products or services by collecting and the contractual provisions that govern administration to provide customer information service and analyzing education, to interpret contractual language to the customer needs for the purpose of providing benefit utilization and limitations, to determine the need for managed care initiatives, and to administer all types of services to customers within the business segment through telephonic inquiries, written and/or electronic inquiries and claims adjustments, if applicable. 35% Provides first- level problem resolution to member, provider and broker inquiries via telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as liability, validate customer understanding of information and resolves issues based on applicable policies and procedures.
Clinical Customer Service Rep - Comprehensive Transplant Unit Johns Hopkins HospitalClinical Customer Service Rep - Comprehensive Transplant UnitBaltimore, MDThe ideal candidate will possess the highest level of Customer Service skills, knowledge of information & computer systems, the ability to work and assist with Nursing staff & Administrative staff, all in the effort to meet the needs of the unit, department in accordance with Johns Hopkins Hospital policy and procedures. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Clinical Customer Service Rep - Cardiovascular Surgical ICU Johns Hopkins HospitalClinical Customer Service Rep - Cardiovascular Surgical ICUBaltimore, MDThe ideal candidate will possess the highest level of Customer Service skills, knowledge of information & computer systems, the ability to work and assist with Nursing staff & Administrative staff, all in the effort to meet the needs of the unit, department in accordance with Johns Hopkins Hospital policy and procedures. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Customer Service Representative - Call Center American Pest Management, Inc.Customer Service Representative - Call CenterColumbia, MDAs a Customer Service Representative with American Pest, your goal is to be a friendly, helpful, knowledgeable, and professional point of contact for our customers and ensure their needs are met in a manner that reflects positively on the company. A business will live and die based on how well it treats its customers, so this fast-paced, high-volume, inbound call center is an incredibly important component of the continued success of American Pest.
NewScheduling Concierge - Primary Care Mercy Medical CenterScheduling Concierge - Primary CareBaltimore, MarylandResponsibilities include scheduling office appointments and procedures as well as taking accurate phone messages, making reminder calls to patients per office protocol, taking accurate Rx refill requests and sending them through Epic to provider pools, insure referrals are in the system for upcoming appointments, flag offices for patients coming with high balances. The Concierge also responsible for sending out new patient packets, scanning documents, working workqueues (WQs), recommending workflow efficiencies to improve the patient experience.
CLINICAL CUSTOMER SERVICE REP- Nelson 4 Nursing (Eve 40) Johns Hopkins HospitalCLINICAL CUSTOMER SERVICE REP- Nelson 4 Nursing (Eve 40)Baltimore, MDThe ideal candidate will possess the highest level of Customer Service skills, knowledge of information & computer systems, the ability to work and assist with Nursing staff & Administrative staff, all in the effort to meet the needs of the unit, department in accordance to Johns Hopkins Hospital policy and procedures. What awaits you: Our competitive Benefit Package is designed to support the well-being and financial security of our employees and includes: Full medical, dental, and vision plans, Paid time off (PTO), Tuition reimbursement for you and your dependents, Earn up to $1,000 annually for practicing self-care with Healthy @ Hopkins.
CLINICAL CUSTOMER SERVICE REP- NeoNatal ICU NICU (Rot 32) Johns Hopkins HospitalCLINICAL CUSTOMER SERVICE REP- NeoNatal ICU NICU (Rot 32)Baltimore, MDThe ideal candidate will possess the highest level of Customer Service skills, knowledge of information & computer systems, the ability to work and assist with Nursing staff & Administrative staff, all in the effort to meet the needs of the unit, department in accordance to Johns Hopkins Hospital policy and procedures.". What awaits you: Our competitive Benefit Package is designed to support the well-being and financial security of our employees and includes: Full medical, dental, and vision plans, Paid time off (PTO), Tuition reimbursement for you and your dependents, Earn up to $1,000 annually for practicing self-care with Healthy @ Hopkins.
CLINICAL CUSTOMER SERVICE REP- School Age Med Surg Unit (Rot 40) Johns Hopkins HospitalCLINICAL CUSTOMER SERVICE REP- School Age Med Surg Unit (Rot 40)Baltimore, MDThe ideal candidate will possess the highest level of Customer Service skills, knowledge of information & computer systems, the ability to work and assist with Nursing staff & Administrative staff, all in the effort to meet the needs of the unit, department in accordance to Johns Hopkins Hospital policy and procedures.". What awaits you: Our competitive Benefit Package is designed to support the well-being and financial security of our employees and includes: Full medical, dental, and vision plans, Paid time off (PTO), Tuition reimbursement for you and your dependents, Earn up to $1,000 annually for practicing self-care with Healthy @ Hopkins.
Customer Service Representative and Dispatcher Aire ServCustomer Service Representative and DispatcherMarylandAll independently owned and operated franchised businesses operate under the service brands’ marks, trademarks, trade names, logos, emblems, slogans, or other indicia of origin in connection with the Aire Serv® franchise system within a specified geographical area. People like you make what the Aire Serv franchise owners do possible and creating a team that shares and exemplifies our values is as important as providing quality service for heating and cooling systems.
Bilingual Customer Service - State Farm Agent Team Member Carrie Skinner State FarmBilingual Customer Service - State Farm Agent Team MemberColumbia, MD$40,000–$51,000 / yearThis opening is especially well suited for customer care support that can keep up with pace, teamwork, and a success-oriented culture, within a motivated, fast-paced office with a work-hard/play-hard feel and strong team integration. As a Customer Service Representative with Carrie Skinner State Farm, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency.
Customer Service Advisor - 12 Months Fixed-Term Contract Ford Retail LtdCustomer Service Advisor - 12 Months Fixed-Term ContractMaryland, MDFrom a comprehensive training and development programme (including a week at our residential induction academy) to a performance-related bonus, 33 days' holiday, and other great benefits we'll give you the rewards you deserve. We work with our colleague network Groups - including our Race, LGBTQ+, Disability and Gender Networks to increase the number of applications we receive from different backgrounds.
Service Advisor | Customer-Focused Shop | $62K+ Salary - 2226 PromotiveService Advisor | Customer-Focused Shop | $62K+ Salary - 2226Westminster, MDAt Caples Car Care, we removed sales quotas and performance KPIs because we believe advisors should focus on helping customers make informed decisions—not upselling services they don't need. We're one of the busiest independent repair shops in the area, servicing approximately 75 vehicles per week, and we're looking for an experienced Service Advisor who values customer service, organization, and honesty.
Retail Customer Service Specialist DICK'S Sporting GoodsRetail Customer Service SpecialistMarylandPromote and provide training to new and current teammates on company programs (i.e., customer loyalty program participation, warranty sales, private label credit card enrollment, etc.). Greet everyone (teammates and customers) and proactively approach customers to understand their needs and support their shopping experience.
Entry Level Automotive Customer Service Representative Jim Coleman HondaEntry Level Automotive Customer Service RepresentativeClarksville, MDEmployee Polygraph Protection Act (EPPA):https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/eppac.pdf. Greet customers in a friendly manner and listen to their requirements in order to match their vehicle needs with one in current inventory.
Customer Service Representative CVS Health CorpCustomer Service RepresentativeMD$17–$31.30 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. As the face of our company, you will care for our customers by researching issues, documenting outcomes, resolving inquiries and delivering a high level of customer satisfaction.
Customer Service Representative (Loan Consultant II) Lendmark Financial Services LLCCustomer Service Representative (Loan Consultant II)Dundalk, MD$22–$24 / hourPrepare reports, correspondences, transaction documentation, and record and file documentation; operate cash drawer, process bank deposits, maintain records and balances and closing of the branch. Handle account activities related to collection accounts, including phone calls and face to face communications with customers.
Customer Service Representative (Loan Consultant I) Lendmark Financial Services LLCCustomer Service Representative (Loan Consultant I)Randallstown, MD$20–$22 / hourPrepare reports, correspondences, transaction documentation, and record and file documentation; operate cash drawer, process bank deposits, maintain records and balances and closing of the branch. At Lendmark Financial Services, we believe the success of our company is specifically attributable to the quality of our employees and their commitment to our customers.
Customer Service Representative AmeriVetCustomer Service RepresentativeBaltimore, MarylandTo provide an exceptional experience, a CSR manages appointments, answers calls, processes patient information, and ensures seamless communication between clients and our medical team. · Inform clients about the services offered, preventive care options, and how they can conveniently book appointments online or shop for pet products through our online store .
Customer Experience Admin Window Nation, Inc.Customer Experience AdminFulton, MDExperience working with a CRM system or other customer tracking software Experience working with Microsoft Suite products Ability to organize multiple activities with minimal supervision Demonstrated success in deadline-driven environment Customer-centric mindset Strong attention to detail Ability to communicate with customers with a high level of empathy and understanding, at times deescalating when needed. Candidates in Maple Lawn, Columbia, Scaggsville, Laurel, Clarksville, Silver Spring, College Park, Baltimore, Glen Burnie, Bowie, Odenton, Crofton, and surrounding areas are encouraged to apply!
Essex Middle River Vet Center - CSR Essex Middle River Veterinary CenterEssex Middle River Vet Center - CSREssex, MarylandIn addition to general practice services, EMRVC offers digital radiology, ultrasound, electrocautery, endoscopy, orthopedic surgery, dental services, laser therapy, and grooming as well as an online pharmacy. Complete cash reconciliation, end-of-day financial tasks, and bank deposits while accurately processing payments and refunds, including transactions through Care Credit and credit card terminals.
Customer Service Advocate I - MD Medicaid (Remote) Blue Cross and Blue Shield AssociationCustomer Service Advocate I - MD Medicaid (Remote)MDRemote$32,256–$59,136 / yearUses knowledge of products and the contractual provisions that govern administration to provide customer service and education, to interpret contractual language to the customer for the purpose of providing benefit utilization and limitations, to determine the need for managed care initiatives, and to administer all types of services to customers within the business segment through telephonic inquiries, written and/or electronic inquiries and claims adjustments, if applicable. ESSENTIAL FUNCTIONS: Provides first- level problem resolution to member, provider & broker inquiries via telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as liability, validate customer understanding of information and resolves issues based on applicable policies and procedures.
Customer Service Advocate I - Maryland Medicare (Remote) Blue Cross and Blue Shield AssociationCustomer Service Advocate I - Maryland Medicare (Remote)MDRemote$32,256–$59,136 / yearUses knowledge of products and the contractual provisions that govern administration to provide customer service and education, to interpret contractual language to the customer for the purpose of providing benefit utilization and limitations, to determine the need for managed care initiatives, and to administer all types of services to customers within the business segment through telephonic inquiries, written and/or electronic inquiries and claims adjustments, if applicable. ESSENTIAL FUNCTIONS: Provides first- level problem resolution to member, provider & broker inquiries via telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as liability, validate customer understanding of information and resolves issues based on applicable policies and procedures.