Remote Government Programs Customer Support Specialist

Delta Dental of Michigan; Farmington Hills (MI); Remote; USD 36,000 - 52,000; Full time

Job summary

Delta Dental of Michigan, Ohio and Indiana seeks a Government Programs Customer Service Representative to support members, providers, and clients across channels. Candidates must reside in Michigan with a reasonable commuting distance for team meetings and training.

You will respond to inquiries, explain eligibility and benefit details, document interactions in the CRM, and adhere to regulatory requirements while meeting quality and call-center metrics.

Qualifications

• High school diploma or equivalent; associate's degree preferred.
• Two years of customer service experience in a business environment.
• Proficiency with CRM systems and Windows software.
• Successful completion of required assessments with stated scores.

Responsibilities

• Respond to member, client and provider questions via phone, email, fax and mail with professional etiquette.
• Explain eligibility, benefit, claim status and payment information accurately.
• Identify call reasons and provide resolution within regulatory and contract guidelines.
• Assist callers with grievance and claims appeals processes as needed.
• Document all call details in the CRM system and maintain data accuracy.

Skills

Customer service

Call center experience

Windows

Multitasking

Communication

Education

High school diploma or equivalent

Associate degree in business administration (preferred)

Tools

CRM software

Microsoft Windows

Job description

Delta Dental of Michigan, Ohio and Indiana seeks a Government Programs Customer Service Representative to support members, providers, and clients across channels. Candidates must reside in Michigan with a reasonable commuting distance for team meetings and training.

You will respond to inquiries, explain eligibility and benefit details, document interactions in the CRM, and adhere to regulatory requirements while meeting quality and call-center metrics.