Customer Service Rep (Call Center- REMOTE)

WPS Health Solutions; Madison (WI); Remote; Full time

Job summary

A leading health insurance company seeks a Customer Service Representative to serve as the first point of contact for military-related inquiries. The role involves managing high-volume inquiries daily and requires strong communication skills and proficiency in customer service software. Competitive pay, including a shift differential and comprehensive benefits, including remote work options, are offered from day one.

Benefits

Comprehensive benefits package

401(k) with generous matching contribution

Opportunities for professional and leadership development

Performance bonus opportunities

Remote work options available

Qualifications

• Minimum of 1 year of customer service experience in a fast-paced call center environment.
• Strong verbal and written communication skills.
• Proficiency in Microsoft Office Suite and customer service software.

Responsibilities

• Serve as the first point of contact for inquiries regarding benefits, eligibility, claims, and billing.
• Respond to an average of 80 or more inbound calls and written inquiries daily.
• Maintain confidentiality and accuracy in handling sensitive information.

Skills

Communication

Problem-solving

Multitasking

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Customer service software

Job description

Employer Industry: Health Insurance and Solutions

Why consider this job opportunity:
- Starting pay of $19.00/hour plus a 2nd Shift differential of $0.75/hour
- Performance bonus and/or merit increase opportunities
- Comprehensive benefits package including health, dental, and telehealth services starting on DAY 1
- Remote work options available in approved states
- 401(k) with a generous matching contribution
- Opportunities for professional and leadership development

What to Expect (Job Responsibilities):
- Serve as the first point of contact for inquiries regarding benefits, eligibility, claims, and billing from military members and providers
- Respond to an average of 80 or more inbound calls and written inquiries daily
- Process correspondence to accurately resolve complex TRICARE-related inquiries
- Provide clear and thorough responses to billing agents regarding claim payment statuses and errors
- Maintain confidentiality and accuracy in handling sensitive information

What is Required (Qualifications):
- U.S. citizenship due to Department of Defense restrictions
- High School Diploma or GED or equivalent experience
- Minimum of 1 year of customer service experience in a fast-paced call center environment
- Strong verbal and written communication skills, with the ability to explain complex information effectively
- Proficiency in Microsoft Office Suite and customer service software

How to Stand Out (Preferred Qualifications):
- 2 or more years of experience in a high-volume call center environment
- 1 or more years of experience with health insurance and/or medical claims
- Familiarity with medical and insurance terminology
- Experience navigating dual monitor screens and utilizing multiple programs simultaneously
- Strong skills in multitasking, research, and problem-solving

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