The Customer Service Representative for Medicare works in a call center to assist and educate Medicare members regarding benefits and to facilitate issue resolution in a pleasant, expedient manner.

Primary Duties and Responsibilities

• Analyze, evaluate, resolve and respond to telephone inquiries from Medicare members.
• Provide members with information and assistance concerning issues such as benefits, eligibility requirements, and claim status.
• Work with appropriate internal and external resources to resolve concerns or complaints in a timely manner.
• Effectively track all interactions and identify potential trends or issues that impact health plan members.
• Develop an understanding of and adhere to federal regulations.
• Call center experience strongly preferred.
• Excellent listening and customer service skills.
• Ability to communicate clearly and effectively, both verbally and in writing.
• Ability to solve problems, take initiative, and work independently in a fast-paced environment.
• Excellent computer skills.

Qualifications/Requirements
• Bachelor’s degree or equivalent level of experience preferred.
• Excellent working knowledge of managed care concepts and insurance company operations strongly preferred.
• Medicare knowledge and experience is a plus.
• Must have strong team skills
• Must be flexible to work various hours as we need to have representation available from 8 a.m. until 9 p.m. as well as on weekends and some holidays.