Customer Service Representative II

Health Care Service Corporation

Customer Service Representative providing telephonic services to clients about healthcare and wellness programs. Solving benefit and claim issues while ensuring excellent customer service in a call center environment.

Posted 7/19/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $18 - $34 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in customer service within the insurance and benefits sector, with a strong focus on client advocacy and problem-solving. Proficient in managing complex cases while effectively communicating and organizing work demands.

Highest-signal resume keywords

Insurance Customer Service ExperienceClient Advocacy ManagementMicrosoft Office Suite ProficiencyExcellent Written And Verbal CommunicationHealth Care Reform Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Customer ServiceClient AdvocacyProblem SolvingCase ManagementHealth Care Reform KnowledgeMedicare KnowledgeMedicaid Knowledge

Soft Skills

Positive AttitudeOrganizational SkillsPrioritization SkillsCustomer Service Skills

Certifications & Qualifications

EBS CertificationPHR CertificationSPHR CertificationCBP Certification

Industry Keywords

Healthcare ProgramsEmployee Incentive ProgramsClaims ManagementBenefits Administration

About the role

Key responsibilities & impact

Provides telephonic services to our Clients’ employees and their immediate family
Assists in understanding and navigating healthcare, wellness, and employee incentive programs
Responsible for solving complex or difficult benefit and/or claim issues on designated client cases
When necessary, escalates issues to Claims, Eligibility Supervisors, and Client Managers

Requirements

What you’ll need

High School diploma or GED equivalent
Minimum three years of insurance and/or benefits customer service experience
Demonstrated experience with managing client advocacy cases
Ability to effectively organize and prioritize work demands
Ability to continuously display a positive attitude
Possess excellent customer service skills
Proficient in Microsoft Office Suite
Excellent written and verbal communication skills
Must be able to work a flexible 37.5 hour work week
Ability to sit and use the phone for long periods of time
Preferred: Health Care Reform knowledge/experience and/or Medicare/Medicaid benefit knowledge
Preferred: Associates Degree
Preferred: Bilingual in Spanish/English
Preferred: EBS, PHR, SPHR or CBP certification

Benefits

Comp & perks

Health and wellness benefits
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement