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Health Plan Customer Service Representative Jobs

Sunset Finance

CUSTOMER SERVICE REPRESENTATIVE

Dublin, 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 ...

Sunset Finance

CUSTOMER SERVICE REPRESENTATIVE

Winder, 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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Health Plan Customer Service Representative information

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

As of Jul 13, 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 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.
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:
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 July 2026, with employment types broken down into 78% Full Time, 20% Part Time, and 2% 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.
CUSTOMER SERVICE REPRESENTATIVE

CUSTOMER SERVICE REPRESENTATIVE

Sunset Finance

Dublin, GA • On-site

$55K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 14 days ago

Job description

Our Top Performing Customer Service Representatives are earning over $55,000 per year! Annual earnings include base salary, monthly standard bonus plan, and annual tax preparation bonus plan! Are you a Top Performer that meets the following requirements? APPLY NOW!

*401K, Health, Dental, Vision, Short- and Long-Term Disability Plans! Paid Holidays, Vacation, and Sick Time Plans!

REQUIREMENTS/QUALIFICATIONS

Qualified candidates must be "A GO GETTER" with excellent personality, communication skills, sales skills, problem solving skills, the ability to lead and must possess a strong desire to succeed! Excellent spelling, computer, data entry, and the ability to complete tasks effectively, efficiently, and thoroughly with little to no supervision. The Customer Service Representative is expected to PREPARE FOR MANAGEMENT. The company views all customer service representatives as potential branch managers. Customer Service Representatives who receive first consideration for promotion are those who excel not only at their own job but understand the positions of The Branch Manager. A high school diploma or equivalence is required.

JOB SUMMARY

The Customer Service Representative is responsible for assisting The Branch Manager achieve the required results in sales, business promotion, profits, operational collection standards, and tax preparation. The Customer Service Representative is responsible for getting results on their contact work by phone. This mainly consists of making contact via the telephone and scheduling office visits with customers. The Customer Service Representative also must be able to learn all tasks performed within the office and prepare to become a Branch Manager of their own location.

DUTIES & ESSENTIAL JOB FUNCTIONS

The Customer Service Representative plays a very important part in the operation of a consumer finance office. The duties of a CSR are to wait on customers, take applications, investigate credit, take payments, refinance loans, work past due accounts by phone as directed by the manager, send out advertising letters, and complete other duties. Customer Service Representatives must have initiative and the ability to work independently. Candidates must have a valid driver's license, dependable transportation and current liability auto insurance coverage.

OTHER FUNCTIONS AND RESPONSIBILITIES

i. Solicit loans over the telephone and at the counter in the office.

ii. Sell all products and services offered over the telephone and in the office.

iii. Answers the telephone, posts customer payments, inputs new and refinanced loans into the loan software system, processes loan applications, and prepares refinance, former borrower and delinquency mail and text messages.

iv. Posts payments, gives customer credit references to inquiring creditors, and credit bureaus.

v. Completes loan documents and closes current refinance loans.

vi. Maintains cash drawer and prepares daily deposits of cash and checks.

vii. Makes telephone collection calls to past due customers and reports activities on each customer to the branch manager.

viii. Adjusts past-due payments for current slow customers.

ix. Participates in training development opportunities as directed by the Manager and District Supervisor.

x. Prepares daily, weekly and monthly reports.

xi. Assists in achieving tax preparation objectives, prepares, and files income taxes each tax season.

xii. Assists in maintaining standards in all areas of delinquency, loan volume, and growth goals, along with the 10th/20th standards.

xiii. It is the branch personnel's responsibility to consistently achieve company production standards.

PHYSICAL REQUIREMENTS/WORK ENVIRONMENT

The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The work is primarily sedentary in nature, no special demands are required.