Customer Service Representative

4 days ago


Fountain Valley, California, United States MemorialCare Health System Full time
About the Role

We are seeking a highly skilled and compassionate Customer Service Representative to join our team at MemorialCare Health System. As a key member of our customer service team, you will play a vital role in delivering exceptional service to our members, ensuring their needs are met and exceeded.

Key Responsibilities
  1. Member Support: Provide timely and effective support to members via phone, email, and other communication channels, addressing their inquiries, concerns, and issues in a professional and empathetic manner.
  2. Benefits Guidance: Educate members on their benefits, policies, and procedures, ensuring they understand their coverage and how to navigate our system.
  3. Problem Resolution: Investigate and resolve member complaints and issues in a fair and timely manner, escalating complex cases to senior team members as needed.
  4. Communication: Develop and maintain effective relationships with members, providers, and internal stakeholders, ensuring seamless communication and collaboration.
  5. Quality Assurance: Participate in quality assurance initiatives, identifying areas for improvement and contributing to process enhancements.
Requirements
  • Experience: Minimum of two years' experience in a customer-facing role, preferably in a healthcare or managed care environment.
  • Skills: Excellent communication and interpersonal skills, with the ability to work in a fast-paced environment and prioritize multiple tasks.
  • Education: High school graduate or equivalent, with a bachelor's degree preferred.
What We Offer

As a valued member of our team, you will enjoy a competitive salary, comprehensive benefits package, and opportunities for professional growth and development. If you are a customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity.



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