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Customer Service Representative
CVS HealthCVS Health customer service representative supporting Aetna/Mercy Care members remotely in Arizona. Handling prescription coverage inquiries, complaints, documentation, and service recovery.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in customer service within a high call-volume environment, effectively resolving inquiries and complaints while maintaining confidentiality and compliance. Proficient in utilizing Microsoft Office tools and possesses strong organizational, communication, and problem-solving skills.
Highest-signal resume keywords
Customer Service ExperienceMicrosoft Office ProficiencyBilingual English/SpanishHealthcare Environment KnowledgeProblem-Solving Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Customer ServiceCall Center ExperienceMedical TerminologyData EvaluationService Recovery
Soft Skills
EmpathyOrganizational SkillsTime ManagementCommunication SkillsDecision-Making Skills
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft Outlook
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Prescription InsuranceMedication CoverageMail-Order PrescriptionsCustomer InquiriesConfidential Patient Information
About the role
Key responsibilities & impact- Handle customer service inquiries and problems via telephone, internet, or written correspondence
- Answer and document incoming contacts and respond to complex calls related to specialized services
- Ensure members receive respectful, kind, and thorough responses
- Identify and evaluate data to resolve complaints and coordinate service recovery
- Follow established procedures to meet customer/member needs and enhance brand recognition
- Answer questions about prescription insurance, medication coverage, and mail-order prescriptions
- Communicate with work units and organizational departments to resolve issues
- Organize training sessions for internal staff on premium customer service processes, policies, and best practices
- Complete required training to use available tools and recall necessary information
- Document customer correspondence and maintain confidential patient information records
Requirements
What you’ll need- At least 1 year of experience in a call center and/or high call-volume environment
- Working knowledge of Microsoft Office products, including Word, Excel, PowerPoint, and Outlook
- Ability to work a flexible Monday-Friday schedule from 7am-6pm Arizona Time
- High school diploma or GED
- Bilingual English/Spanish preferred
- Demonstrated problem-solving and decision-making skills preferred
- Previous healthcare environment experience preferred
- Knowledge of medical terminology preferred
- Strong organizational and time management skills preferred
- Excellent communication skills preferred
- Ability to demonstrate empathy in a professional, customer-oriented manner preferred
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- Comprehensive benefits package for eligible full-time colleagues and their families
- Recognition programs