"We are in urgent need of Member Service Representative for a well-known being the largest Medicaid Managed Care Organization in the country, also the largest carrier in the Health Insurance Marketplace and a national leader in managing long-term services and support"
Position Title – Member Service Representative
Facility – Health Insurance
Address – Cypress, CA
Pay –16.00 per hour
Hours – Full Time M-F 9:30am-6:00pm
2+ years of Healthcare/Medical Experience or
2+ years of Customer Service Experience (Prefer call center)
The main function of a call center/customer service specialist is to interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints. A typical customer service specialist is responsible for determining the client’s issue, offer possible solutions or providing follow-up as needed. Customer service agents may be inbound, outbound or a combination of both.
· Resolve customers’ service or billing complaints by performing activities such as exchanging merchandise, refunding money, and adjusting bills.
· Contact customers to respond to inquiries or to notify them of claim investigation results and any planned adjustments.
· Refer unresolved customer grievances to designated departments for further investigation.
· Keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.