Customer Service Representative I

Job description

FLSA Status: Non-Exempt Department: Customer Service Reports To: Supervisor, Customer Service Employee Unit: Employees in this classification are represented by Service Employees International Union (SEIU) Local No. 521 GENERAL DESCRIPTION OF POSITION: The Customer Service Representative I answers inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call Center service-level objectives. ESSENTIAL DUTIES AND RESPONSIBILITIES: To perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below. REQUIREMENTS – Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. - Act as the primary point of contact and liaison for SCFHP members and providers contacting the plan regarding general inquiries, concerns or requests for information. - Develop a general understanding of all member facing materials, communications and interactions and be prepared to respond appropriately to follow up calls. - Answer inbound calls and/or plac...