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Health Plan Customer Service Representative Jobs

... plan Customer Service Representative Job Qualifications: 1 year of customer: call center, retail or helpdesk. Strive to resolve the customer issues on the first call Demonstrate knowledge of TXU ...

Customer Service Representative (CSR)

Peterborough, NH ยท On-site

$16.50 - $22.50/hr

Customer Service Representative (CSR) Customer Service Representative: The Customer Service Representative will WOW the customer by making sure they have a positive experience either in the store or ...

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Customer Service Representative Location: Stratford Connecticut Job Type: Full-Time- (in the office ... Health, dental, and vision insurance * Retirement savings plan * Positive and inclusive work ...

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Health Plan Customer Service Representative information

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How much do health plan customer service representative jobs pay per hour?

As of Jun 17, 2026, the average hourly pay for health plan customer service representative in the United States is $18.80, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.91 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Health Plan Customer Service Representative, and why are they important?

To thrive as a Health Plan Customer Service Representative, you need strong knowledge of health insurance policies, benefits administration, and customer service practices, typically supported by a high school diploma or equivalent. Familiarity with customer relationship management (CRM) software, claims processing systems, and Microsoft Office Suite is commonly required. Outstanding communication, patience, problem-solving, and conflict resolution skills help representatives effectively assist members and address their concerns. These abilities are crucial for delivering accurate information, ensuring customer satisfaction, and maintaining the reputation of the health plan provider.

How much does a 215 license make?

A Health Plan Customer Service Representative with a 215 license, which typically refers to a health insurance license, can expect to earn an average salary ranging from $35,000 to $50,000 annually, depending on experience and location. Licensing may be required for handling certain insurance products and customer inquiries in the health insurance industry.

What jobs pay 2000 a day?

Jobs that can pay $2,000 a day typically include high-level roles such as specialized medical professionals, senior corporate executives, or successful entrepreneurs. These positions often require advanced skills, extensive experience, or significant responsibilities, and may involve consulting, legal work, or investment activities. Such high daily earnings are uncommon and usually associated with top-tier expertise or ownership of profitable businesses.

How to become a healthcare customer service representative?

To become a healthcare customer service representative, candidates typically need a high school diploma or equivalent and strong communication skills. Relevant experience in customer service or familiarity with healthcare terminology can be beneficial, and some employers may require certification in healthcare billing or insurance. Proficiency with computer systems and customer management software is also important.

What does a Health Plan Customer Service Representative do?

A Health Plan Customer Service Representative assists members with questions about their health insurance coverage, benefits, and claims. They handle inquiries by phone, email, or chat, providing information about plan details, helping resolve billing or coverage issues, and guiding members through enrollment or policy changes. Their goal is to ensure members understand their health plan options and receive timely, accurate support.

What are some common challenges Health Plan Customer Service Representatives face when assisting members, and how can these be managed effectively?

Health Plan Customer Service Representatives often encounter challenges such as addressing complex benefit questions, resolving billing or claims disputes, and managing high call volumes during peak periods. To handle these effectively, representatives rely on strong communication skills, in-depth knowledge of plan details, and efficient use of support resources like knowledge bases and escalation protocols. Additionally, staying patient and empathetic helps in building trust with members and ensuring positive outcomes, even in stressful situations.

What do healthcare customer service representatives do?

Healthcare customer service representatives assist patients with questions about their health plans, benefits, and coverage. They handle inquiries, resolve issues, update patient information, and often use computer systems to document interactions and access account details.
More about Health Plan Customer Service Representative jobs
What cities are hiring for Health Plan Customer Service Representative jobs? Cities with the most Health Plan Customer Service Representative job openings:
What states have the most Health Plan Customer Service Representative jobs? States with the most job openings for Health Plan Customer Service Representative jobs include:
Infographic showing various Health Plan Customer Service Representative job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 82% Full Time, and 17% Part Time. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $39,098 per year, or $18.8 per hour.

Customer Service TXU

SmoothStar Tech

Corpus Christi, TX โ€ข Remote

Full-time

Posted 15 days ago


Job description

Smoothstar Tech is hiring qualified canindates for work from home customer service position with TXU Energy. Agents will.serve customers by providing product and service information; resolving product and service problems. Customer Service Representative Job Duties: Review, analyze and respond to customer billing inquiries

Resolve customer issues or questions Processing payment deferrals. Attempt to save customers who may be moving, unhappy with the plan or current rate Quickly identify customer needs in first few minutes of the call to offer the appropriate plan Accurately enroll the customer in the correct plan Customer Service Representative Job Qualifications: 1 year of customer: call center, retail or helpdesk. Strive to resolve the customer issues on the first call Demonstrate knowledge of TXU Energy processes and policies .

Build trust and rapport with the TXU Customer through clear, respectful interaction Always strive to ensure that overall customer satisfaction remains high, while resolving issues Understand "client call flow" and Texas Utility regulation Ensure no Public Utilities Commission Complaints are filed Ensuring that no TXU customer has a Lights Turned Out In Error (LOIE) situation