Customer Service Associate
Indexed description
ABOUT THE POSITION:
The Customer Service Associate supports Customer Service Representatives and internal department requirements outside of standard call handling. This role assists with non-call workflows, operational inquiries, digital communication channels, and cross-functional support needs. The position may also answer basic-level customer service calls when call volume warrants, helping maintain service levels and ensure timely support for members, providers, clients, and internal stakeholders.
WHAT YOU WILL BE DOING:
Customer Service and Department Support
- Provide daily administrative and operational support to Customer Service Representatives to help maintain workflow continuity and timely issue resolution.
- Support internal department requirements outside of standard call handling, including follow-up tasks, documentation updates, email inquiries, portal messages, and departmental requests.
- Monitor and respond to inquiries received through approved customer service communication channels, including Member Portal Chat, Message Board, and Customer Service email group.
- Assist with answering calls when when additional call support is needed due to call volume or business demand.
- Escalate complex, sensitive, or unresolved issues to the appropriate Customer Service Representative, Lead Customer Service Representative, supervisor, or operational department.
- Maintain accurate documentation of work completed, inquiries handled, follow-up actions, and pending items in accordance with department expectations.
- Assist with basic-level calls when volume warrants while maintaining professionalism and adherence to call handling expectations
- Demonstrate accountability, teamwork, dependability, and a commitment to continuous improvement.
- Other duties as required
- Strong customer service mindset with the ability to support multiple team members and internal departments professionally.
- Ability to manage non-call workflows, follow-up items, email inquiries, portal messages, and administrative support tasks accurately and efficiently.
- Clear verbal and written communication skills with attention to detail and professionalism.
- Ability to research routine inquiries, document findings, and escalate complex issues appropriately.
- Strong organizational, prioritization, and time-management skills.
- Ability to work independently in a remote environment while contributing effectively to team success.
- Ability to maintain confidentiality and comply with HIPAA, regulatory, and company policy requirements.
- High School Diploma or GED required.
- Call center experience (TPA / Self-Funded Plans preferred).
- Basic understanding of healthcare benefits, eligibility, claims processing, provider networks, healthcare terminology, and HIPAA requirements preferred.
- WLT system knowledge preferred.
- Remote work environment requiring prolonged computer use and telephone interaction.
- Ability to work scheduled business hours and overtime as required to support business needs.
- Ability to maintain a secure home office environment that meets company standards.
- Generous PTO
- Medical and Prescription
- EAP
- FSA / HSA / Dependent Care
- Dental
- Vision
- Life and Disability
- STD/LTD
- Voluntary Benefits: Critical Illness, Accident, Hospital
- 401k with Employer Match
- LegalShield
- Identity Theft Protection
This is a remote position.
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