Medicare Member Experience Specialist

CVS Health; Pennsylvania; Hybrid; USD 26,000 - 48,000; 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 Medicare Individual Customer Service Representative to serve as the single point of contact for member inquiries by phone. You will listen, ask questions, and resolve issues through research, documentation, and follow-through to guide members based on their needs.

The role emphasizes accuracy, empathy, and collaboration with internal partners to ensure high-quality service and member satisfaction. 40-hour weeks with comprehensive benefits are offered.

Qualifications

• 1+ years of customer service experience.
• Ability to multitask and manage multiple functions/products.
• Strong communication and professional interaction with members.

Responsibilities

• Handle inbound member calls and serve as the primary contact for service questions.
• Verify member information and document interactions in required systems.
• Educate members on benefits and coverage topics with clear language.
• Resolve member concerns by researching and following approved processes.
• De-escalate difficult calls to maintain member satisfaction.
• Meet or exceed quality, timeliness, and service experience standards.
• Collaborate with internal partners to resolve issues and close commitments.

Skills

Customer service experience

Time management

Strong communication

Professionalism

Education

High School or GED

Tools

Microsoft Office

Job description

CVS Health is seeking a Medicare Individual Customer Service Representative to serve as the single point of contact for member inquiries by phone. You will listen, ask questions, and resolve issues through research, documentation, and follow-through to guide members based on their needs.

The role emphasizes accuracy, empathy, and collaboration with internal partners to ensure high-quality service and member satisfaction. 40-hour weeks with comprehensive benefits are offered.