Senior Customer Service Representative

CVS Health; Massachusetts; Remote; USD 25,000 - 58,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Wellness programs

Job summary

CVS Health is seeking a Sr. Customer Service Representative for a permanent work-from-home position.

You will handle member and provider inquiries via telephone, internet, or written correspondence, focusing on claims status, benefits, and eligibility. This full-time role offers an hourly wage between $18.50 and $42.35, with a comprehensive benefits package including medical, dental, and vision coverage, paid time off, and retirement options.

Qualifications

• This role requires at least 1+ year of customer service experience.
• Experience working in a metric-based environment is preferred.
• Proficiency with the full Microsoft Office suite is expected.
• Comfort with using search engines to locate information as needed.

Responsibilities

• Handle incoming calls from members and providers regarding claims status, benefits and eligibility.
• Maintain performance metrics at or above established levels.
• Collaborate with teammates and apply core values in daily operations.
• Provide differentiated service experiences and effective problem solving.
• Address service challenges and deliver solutions to constituents' needs.
• Work across boundaries to ensure seamless customer service.

Skills

Customer service experience

Communication skills

Multitasking

Metric-based environment experience

Effective with Microsoft Office

Ability to research via search engines

Education

High School diploma or GED

Tools

Microsoft Office Suite

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Requisition Job Description

Position Summary

Meritain Health an Aetna/CVS affiliate has multiple openings for Sr. Customer Service Representatives in our permanent work from home role $19.50/hr wage. This position handles customer service inquiries for our Fully Insured or High Profile role, they should be able to address problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature.

Responsibilities

• Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc
• Maintain department established performance metrics at a meets or exceeds expectations level
• Work together as a team and apply the Aetna Core Values in day-to-day operations
• Creating a Differentiated Service Experience
• Demonstrating Service Discipline
• Handling Service Challenges
• Providing Solutions to Constituent Needs
• Working Across Boundaries

Required Qualifications

• 1+ years of customer service experience
• Experience in a metric based environment
• Proficiency with full suite of Microsoft Applications
• Comfortability utilizing search engines
• Excellent multi-tasking skills
• Ability to Effectively Communicate

Preferred Qualifications

• Experience working in a call center environment
• Medical terminology/insurance experience
• Results oriented and self-motivated
• Experience working remotely

Education

• High School diploma, G.E.D. or equivalent experience

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.