Medicare Customer Service Specialist

Status: 8-Month Contract (potential contract-to-hire)

Job Title: Customer Service Professional

Location: 100% Remote (must live in Oregon, Washington, Idaho or Utah)

Pay: DOE

About the company:

They have more than 4,500 employees working to transform how people experience health care. Recognized as a Top 100 Healthiest Workplaces and among the World’s Most Ethical Companies, we are rooted in a legacy that puts people first, always.

They are dedicated to making the healthcare experience simpler, better, and more affordable for people and their families, including the 3.3 million people they serve through their regional health plans.

They are deeply rooted in a 100-year legacy of transforming the industry and how people experience health care. And they’re committed to delivering a seamless, personalized healthcare experience for the next 100 years. They have taken their legacy business and pivoted to meet the needs of today’s healthcare consumers.

Customer Service Professional:

We are in search of highly skilled Customer Service Professionals to deliver exceptional service to Medicare Advantage members. These roles are not your typical customer service positions; we are looking for individuals who can adeptly multitask using web-based tools within a Windows environment. The ideal candidates will be able to efficiently manage at least two screens at the same time while engaging in conversations with members.

Customer Service Professional Responsibilities:

• Deliver "white glove" customer service to Medicare Advantage members, ensuring a high level of satisfaction and retention.
• Utilize web-based tools and navigate a Windows environment proficiently to handle member inquiries and resolve issues efficiently.
• Manage multiple screens simultaneously while maintaining focus and attention to detail during member interactions.
• Demonstrate strong sensitivity, empathy, and active listening skills to understand members' needs and concerns.
• Uphold outstanding phone etiquette to communicate effectively and professionally with members.
• Collaborate with internal teams to escalate and resolve complex member issues as needed.
• Maintain accurate records of interactions and follow-up actions in the customer relationship management (CRM) system.

Customer Service Professional Qualifications:

• Proven experience in a customer service role, preferably in the healthcare or insurance sectors.
• Ability to multitask effectively and remain composed under pressure.
• Exceptional interpersonal skills with a demonstrated ability to build rapport and trust with diverse customer groups.
• Familiarity with Salesforce and/or Radar platforms is a plus.
• High school diploma or equivalent; additional education or certifications in customer service are advantageous.
• Strong problem-solving skills and a proactive approach to identifying and addressing member needs.