Covered California Member Support Specialist

Norse Atlantic Airways; Orange (CA); On-site; USD 48,000 - 65,000; Full time

Benefits offered by this job

Competitive pay range

Full office environment

Comprehensive benefits

Job summary

CalOptima Health seeks a Customer Service Rep (Covered California) to be the first contact for members and providers. You will handle eligibility, benefits and service questions, and direct cases to the right teams, ensuring accurate documentation and timely responses.

The role requires a high school diploma, 6 months in a call center, and experience with Covered California. A stable, full-office position with flexible scheduling is offered.

Qualifications

• High school diploma or equivalent plus 6 months of call center experience or equivalent.
• Experience with Covered California, health insurance marketplace, and/or commercial plans required.
• Typing speed of 35 words per minute required.

Responsibilities

• Provide first-line contact for CalOptima Health members and providers.
• Assist with eligibility, benefits and covered services inquiries.
• Direct cases to appropriate internal teams and document interactions.
• Maintain productivity and quality standards in daily work.
• Build and maintain internal and external relationships with stakeholders.
• Complete inquiries with accurate documentation in systems.

Skills

Customer service

Bilingual English + threshold language

Typing 35 WPM

Covered California experience

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

CalOptima Health seeks a Customer Service Rep (Covered California) to be the first contact for members and providers. You will handle eligibility, benefits and service questions, and direct cases to the right teams, ensuring accurate documentation and timely responses.

The role requires a high school diploma, 6 months in a call center, and experience with Covered California. A stable, full-office position with flexible scheduling is offered.