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Health Plan Customer Service Representative Jobs

SmoothStar Tech

Customer Service TXU

Corpus Christi, TX · Remote

... 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 ...

Domino's

Customer Service Representative (CSR)

Walpole, NH · On-site

$14.50 - $19.75/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 ...

Northwood, Inc.

Be Seen First

CUSTOMER SERVICE REPRESENTATIVE

Detroit, MI · On-site

$15/hr

The Customer Service Representative is responsible for performing all tasks relevant to in-house ... Company Description Northwood plays an integral role in health plan benefit administration for ...

Domino's

Customer Service Representative (CSR)

Springfield, VT · On-site

$16 - $21.75/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 ...

Sunset Finance

CUSTOMER SERVICE REPRESENTATIVE

Jasper, GA · On-site

$55K/yr

... plan! Are you a Top Performer that meets the following requirements? APPLY NOW! *401K, Health ... The Customer Service Representative is expected to PREPARE FOR MANAGEMENT. The company views all ...

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

As of May 28, 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.

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 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.
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What job categories do people searching Health Plan Customer Service Representative jobs look for? The top searched job categories for Health Plan Customer Service Representative jobs are:
Health Plan Customer Service Representative jobs near you

Customer Service Representative - Health Plan

3B Healthcare, Inc.

Sioux Falls, SD • On-site, Remote

$16 - $21.75/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Job Opportunity

***Will only look at candidates who reside in SD, ND, MN, NE, FL, TN, IA, TX, IN, IL, SC, MA due to certain ins. restrictions*** 8 hour days, Mon-Fri. 8:30a-5:00p Pay: 19 per hour (mark up 1.6) Potential Temp to Perm. Looking for strong background in Call Center, Medical, Insurance preferred. Positions could be remote, work from home or if in the Fargo or Sioux Falls area could be in office. Sanford will ship equipment to their home - temp MUST have internet at home for this position.

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