Health Insurance Member Support Specialist

CVS Health; California (MO); Hybrid; USD 48,712,000 - 89,687,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a full-time Customer Service Representative to support Aetna/Mercy Care. You will assist members via phone, web, or written correspondence, guiding them through benefits and plan details to resolve issues and improve the overall experience.

The role requires at least 1 year in a call center or health insurance setting, excellent communication, and a willingness to work a Monday–Friday schedule. Bilingual English/Spanish is a plus.

Qualifications

• 1 year of experience in a call center or high-volume environment.
• 1 year of experience in health insurance, Medicaid/Medicare, and/or Medicare Advantage.
• Willingness to work a Monday-Friday schedule from 8am-6pm Arizona Time.
• Bilingual English/Spanish is a plus; strong communication skills.

Responsibilities

• Engage, consult, and educate members to guide them toward care.
• Answer questions and resolve issues for members, providers, and sponsors.
• Document and track member contacts and outcomes.
• Explain benefits and plan details while adhering to regulatory guidelines.

Skills

Call center experience

Healthcare knowledge

Bilingual English/Spanish

Excellent communication

Education

High school diploma or GED

Tools

Microsoft Office

Job description

CVS Health is seeking a full-time Customer Service Representative to support Aetna/Mercy Care. You will assist members via phone, web, or written correspondence, guiding them through benefits and plan details to resolve issues and improve the overall experience.

The role requires at least 1 year in a call center or health insurance setting, excellent communication, and a willingness to work a Monday–Friday schedule. Bilingual English/Spanish is a plus.