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Health Plan Customer Service Representative Jobs

Sunset Finance

CUSTOMER SERVICE REPRESENTATIVE

Athens, 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 ...

Trustpilot

CUSTOMER SERVICE REPRESENTATIVE

Jonesboro, 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 ...

GX Louisiana

CSR Customer Service Representative

La Place, LA · On-site

$14.50 - $20/hr

Customer Service Representative reports to the Store Manager. The CSR is responsible for assisting the Management Team in the overall operation, cleanliness, maintenance, inventory and cash control ...

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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 Aug 22, 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 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 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.

How to become a health plan customer service representative?

To become a health plan customer service representative, candidates typically need a high school diploma or equivalent, strong communication skills, and experience with customer service or healthcare systems. Some employers may require familiarity with insurance terminology and basic computer skills, and on-the-job training is often provided. Certification is not mandatory but can enhance job prospects.
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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:

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
Infographic showing various Health Plan Customer Service Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, and 3% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $39,098 per year, or $18.8 per hour.

CSR / Customer Service Rep

Works Plumbing

Pacifica, CA

$18 - $25/hr

Full-time

Medical, Dental, Life, PTO

Re-posted yesterday

Job description

Works Plumbing of Pacifica, CA, is to fill part-time and full-time CSR / Customer Service Representative positions to handle client calls regarding their plumbing needs, discuss them with the homeowners, and make the schedules for the technicians. This position has flexible schedules available with no mandatory work on Sundays and no mandatory on-call. You also enjoy an industry-competitive wage of $18 - $25/hr and amazing benefits, including medical, dental, life insurance, paid vacation, paid time off (PTO), and on-the-job training. Work for a company that's trusted in the Pacifica community. We invest in your professional development. Join a team that feels more like family.

Do you thrive in a fast-paced office atmosphere? Are you a customer service rockstar? Do you enjoy interacting with different personalities? If you're looking to join a supportive team where you can build a stable career, apply today! Are you a people person with a passion for helping others? Do you thrive in a fast-paced environment where day-to-day is different? Join our team, where we deliver top-notch plumbing solutions to homes and businesses across Pacifica, California, and the surrounding areas.


ABOUT WORKS PLUMBING

Since 2000, Works Plumbing has provided full-service plumbing maintenance and repairs and clogged drain cleaning 24 hours a day. We also specialize in water heater repairs and installations. We understand the desire for affordable, efficient, and quality services. To save our clients' money, we constantly evaluate our operating costs. Reducing wasteful spending is how we can deliver pricing that won't break the bank ' without sacrificing top-quality services.

We rely on our hardworking employees to achieve client satisfaction. That is why we strive to hire and retain the best! We offer our loyal team competitive compensation, great benefits, and a supportive work environment in which people want to participate.


A DAY IN THE LIFE OF A CSR / Customer Service Rep

Your primary goal is to ensure ultimate scheduling efficiency and that our clients are heard. Maximizing time and mileage, you work hard to ensure customer service expectations are exceeded. You spend your workday in the office on the phone or computer, providing top-notch customer service to our clients. You inform clients of arrival times or any potential delays through phone calls. You happily adjust for any rescheduling needs. As an efficient Customer Service Representative, you organize the days and weeks ahead to avoid falling behind schedule. Your demeanor is friendly and capable as you converse with clients and dispatch calls to technicians. You leave work each day knowing you played a vital role in our company's success!


QUALIFICATIONS FOR A CSR / Customer Service Rep

  • Strong communication and phone skills
  • Has excellent communication and interpersonal skills
  • is detail-oriented and highly organized
  • Can handle multiple tasks in a fast-paced environment
  • Is proficient with computer systems and scheduling software
  • Has a positive attitude and a commitment to providing exceptional customer service
  • Able to pass a background check and drug test

Bonus Points If You Have:

  • Experience in customer service or a similar role
  • Knowledge of plumbing services (not required- we'll train you!)

Are you organized? Do you prioritize your tasks effectively? Are you professional and dependable? Are you a customer service superstar? Are you a great communicator, both verbally and written? Are you detail-oriented and thrive in a fast-paced office environment? Apply now!


ARE YOU READY?

If you feel you'd be perfect for this customer service position, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you!

Location: 94044

Apply