Customer Service RepresentativeCustomer Service Representative

Job Responsibilities:

• Assisted customers with credit card inquiries, application status, disputes, and account concerns. • Processed payments and other secure transactions in accordance with bank guidelines.

Job Responsibilities:

• Provided information and support related to prior authorizations, claims, and therapy services. • Helped resolve provider concerns accurately while following health plan requirements.

Job Responsibilities:

• Investigated pharmacy issues, including medication return and resend requests. • Handled escalations and supported frontline representatives with complex cases. • Provided process guidance on benefits, troubleshooting, and pharmacy service procedures.

Job Responsibilities:

• Assisted members with prescription refills, eligibility verification, and pharmacy benefit inquiries. • Explained copays, coverage, and prior authorization requirements.

Job Responsibilities:

• Supported behavioral healthcare providers with eligibility, benefits, claims, and authorization inquiries.

Job Responsibilities:

• Resolved cable, internet, and phone service concerns. • Mentored new hires on processes and customer service best practices.