Remote Healthcare Customer Service Associate I

Geisinger; Pennsylvania; On-site; USD 32,000 - 46,000; Full time

Job summary

Geisinger is seeking a Customer Service professional to proactively resolve member concerns, educate customers and maintain high satisfaction. You will participate in cross-training and contribute to process improvements within the Customer Service team from a remote PA setting.

Responsibilities include handling enrollment and eligibility issues, communicating with members and employer groups, and supporting claims resolution while ensuring adherence to policy and program design.

Qualifications

• Strong communication and interpersonal skills.
• Ability to educate and advise customers to ensure satisfaction.
• Experience in handling enrollment and eligibility processes.

Responsibilities

• Resolve enrollment reports and eligibility issues per policy.
• Initiate communications to newly enrolled members, dependents and groups.
• Review claims and determine coverage according to product design.
• Support providers and members with claims questions and resolutions.
• Provide daily guidance to service staff on claims policies and procedures.

Skills

Communication

Customer Retentions

Customer Service

Education

High School Diploma or GED

Job description

Geisinger is seeking a Customer Service professional to proactively resolve member concerns, educate customers and maintain high satisfaction. You will participate in cross-training and contribute to process improvements within the Customer Service team from a remote PA setting.

Responsibilities include handling enrollment and eligibility issues, communicating with members and employer groups, and supporting claims resolution while ensuring adherence to policy and program design.