Customer Service Representative I

🔥 6 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $20 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

The Word & Brown Companies

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1984

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

The Word & Brown Companies is a family of insurance administration businesses that simplify access to health insurance and employee benefits for individuals, families, brokers, carriers, employers, and employees. Founded in 1985, they provide specialized products, services, and tools across health insurance administration, employee benefits, and related healthcare services, emphasizing service excellence, innovation, and a strong company culture. The company operates as a B2B partner to brokers, carriers, and employers while directly supporting consumers with benefit access and administration.

📋 Description

• Handle customer calls to resolve issues, provide education, follow up, and answer questions about California Choice plan administration and procedures • Answer group questions via telephone or email about new hires, billing, rates, supplies, and administrative procedures • Educate employees and dependents about ID cards, administrative procedures, dependent coverage, and address changes • Follow up with brokers regarding provider-related problems affecting their groups • Interact daily with brokers, general agents, and sales representatives regarding California Choice processes • Respond to provider calls to confirm eligibility and benefits • Verify enrollments and resolve carrier issues • Expedite member enrollment processing with carriers when urgent services are needed • Review and submit group appeal requests • Review and audit group billing and explain it clearly and accurately to clients • Document calls in the call tracking system • Work in a paperless environment using Doc Link • Maintain an average of 90% or greater on call reviews • Answer at least 100% of the daily average call volume • Maintain documentation quality of 90% or higher in applicable databases, including Doc Link and Opportunity • Keep busy time to 20 minutes or less per day • Meet department and team standards for quality, quantity, and turnaround times • Adhere to HIPAA and PHI guidelines • Maintain regular attendance and punctuality for on-site or remote work • Perform other assigned business tasks or functions

🎯 Requirements

• CA Life & Health license required, or obtain one within six (6) months of date of hire • Excellent verbal and written communication skills • Ability to handle irate customers courteously, patiently, calmly, and positively • Experience handling high call volume • Proficiency in Microsoft Word, Excel, Outlook, Windows, MSWord, and Doc Link • Accurate data entry skills • Typing speed of 55 WPM or more • Knowledge of the health insurance industry preferred • At least two (2) years of customer service experience preferred • Ability to work in a fast-paced environment and handle multiple assignments simultaneously • Problem-solving skills • Proficient knowledge of English • Spanish proficiency is a plus • Language Assistance Certification required every two years if hired as a Bilingual representative • High school diploma or equivalent required • Ability to sit for extended periods and occasionally stand and walk • Adequate hearing for phone work; close vision and ability to adjust focus • Ability to communicate effectively in English • Ability to use a keyboard and other office equipment • Ability to lift up to 30 pounds occasionally

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume