Job Description:
• Respond to member inquiries via phone, email, or chat with professionalism and empathy.
• Resolve member level issues related to pharmacy benefits, claims, eligibility, and other service needs.
• Escalate complex cases to senior support staff as needed.
• Document all member interactions accurately to ensure compliance and service quality.
• Identify recurring issues and share feedback with leadership for process improvement.
• Work closely with Client Support Supervisors and Account Managers.
• Engage in ongoing training to build skills in customer service, systems navigation, and healthcare knowledge.
Requirements:
• 1–2 years of experience in customer service, healthcare, insurance, or benefits.
• Strong verbal and written communication skills.
• Ability to manage member issues with empathy and attention to detail.
• Must reside in the MST or PST time zones.
• Associate’s degree in Business, Healthcare Administration, or related field preferred.
• Familiarity with CRM platforms, call center tools, or SOP documentation preferred.
• Interest in career growth within client support or account management.
Benefits:
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
• Confidential counseling and financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access