Health Plan Customer Service Representative information
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$11.41 - $12.96
4% of jobs
$12.96 - $14.51
11% of jobs
$15.37 is the 25th percentile. Wages below this are outliers.
$14.51 - $16.06
15% of jobs
The median wage is $17.49 / hr.
$16.06 - $17.61
20% of jobs
$17.61 - $19.17
15% of jobs
$20.23 is the 75th percentile. Wages above this are outliers.
$19.17 - $20.72
13% of jobs
$20.72 - $22.27
7% of jobs
$22.27 - $23.82
6% of jobs
$23.82 - $25.37
4% of jobs
$25.37 - $26.92
3% of jobs
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.
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.
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.
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.
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.
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?
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