Remote job
Customer Service Representative, Member Care (Part-Time/ 11am-4pm EST)
Job details
About this role
Role overview Help health plan members understand their coverage and resolve questions or problems through phone and chat support. This part-time, remote position combines clear communication and careful recordkeeping, with the goal of making plan details and claim-related processes easier to navigate.
Responsibilities - Respond to inbound calls and chats about benefit amounts, plan coverage, and how members may receive money back when choosing lower-cost care. - Resolve questions and complaints accurately, calmly, and with empathy. - Listen closely, build rapport, and explain information clearly in writing and by phone. - Follow established procedures and maintain complete, accurate interaction records. - As experience grows, contribute feedback to process improvements and take on broader work involving claims or escalations.
Requirements - Strong customer service experience and a people-focused approach to helping others. - Clear, confident communication and active listening skills across phone and written channels. - Attention to detail and practical problem-solving when helping members understand their plan. - Adaptability and resilience in a changing work environment. - High school diploma or equivalent. - Current residence in Florida, Georgia, North Carolina, Ohio, Texas, or Utah; reliable high-speed internet and a private, quiet workspace for confidential calls.
Nice to have - English and Spanish fluency; experience in healthcare, insurance, claims, or ticketing and chat support; or interest in taking on broader responsibilities. - A bachelor's degree is preferred.
Benefits and work setup The schedule is 11 a.m.–4 p.m. Eastern Time. Training is paid and lasts four weeks, with attendance required from 9 a.m.–5:30 p.m. Eastern Time. The listing specifies an hourly wage of $20, medical coverage beginning on day one, and monthly internet and phone expense reimbursements of $50 each.