Customer Service Representative

Job Description
A third-party health insurance administrator is hiring a Customer Service Representative to support growing member and provider volume. This is a high-volume, structured call center role operating Monday–Friday, 9:00 AM–5:00 PM (no flex scheduling).

This position is critical to daily operations, handling inbound calls related to eligibility, benefits, claims status, pre-authorizations, and provider inquiries. Representatives are cross-trained across multiple functions and are expected to take ownership of calls, resolve issues end-to-end, and deliver a strong member/provider experience.

This is a fast-paced role best suited for individuals who are reliable, self-sufficient, and comfortable handling complex or escalated conversations with professionalism and patience.

Key Responsibilities:
Handle 30–50 inbound calls per day from members and providers

Assist with eligibility, benefits, claims status, pre-certifications, and genera...

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