Remote Customer Care Specialist - First Call Resolution

Talentify; Somerville (MA); Remote; USD 28,000 - 39,000; Full time

Job summary

Mass General Brigham Health Plan is seeking a Customer Service Professional (CSP) who will serve as the primary contact for members and providers, delivering first-call resolution and high-quality service. You will troubleshoot inquiries about eligibility, benefits, and claims, and navigate multiple systems to ensure accurate responses and timely resolutions.

You will contribute to a compliant, customer-focused experience, build trust with customers, and support ongoing member satisfaction while

Qualifications

• High school diploma or equivalent required.
• Associate's degree in related field preferred.
• Strong customer service skills; clear, concise communication.

Responsibilities

• Serve as primary liaison for members and providers across lines of business.
• Handle benefit, claims and eligibility calls; research information as needed.
• Document interactions and escalate issues when appropriate.
• Navigate multiple systems to resolve customer inquiries and complaints.

Skills

Exceptional Customer Service

Multitasking

Call Center experience

Service Excellence

Accountability

Critical Thinking

Team Player

Flexible/Adaptable

Relationship Building

Education

High School Diploma or Equivalent

Associate's Degree in related field

Job description

Mass General Brigham Health Plan is seeking a Customer Service Professional (CSP) who will serve as the primary contact for members and providers, delivering first-call resolution and high-quality service. You will troubleshoot inquiries about eligibility, benefits, and claims, and navigate multiple systems to ensure accurate responses and timely resolutions.

You will contribute to a compliant, customer-focused experience, build trust with customers, and support ongoing member satisfaction while