CCO Service Agent

Healthfirst

CCO Service Agent focusing on member and provider inquiries in a customer-centered environment. Role involves addressing complex inquiries and ensuring compliance with regulatory requirements.

Posted 7/16/2026full-timeRemote • Florida, New Jersey, New York • 🇺🇸 United StatesMid-LevelSenior💰 $40,200 - $54,570 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates strong customer service skills by effectively addressing member and provider inquiries, ensuring timely and accurate resolutions. Proficient in managing performance metrics and participating in cross-functional projects to enhance customer interactions.

Highest-signal resume keywords

Customer Service ExperiencePerformance KPI ManagementConflict ResolutionCross-Functional Project ParticipationMicrosoft Office Suite Proficiency

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Customer ServiceConflict ResolutionPerformance Metrics ManagementFast-Paced Environment Adaptability

Soft Skills

DependabilityCommunication SkillsProblem-Solving

Tools & Technologies

Microsoft Office SuiteExcelWordOutlook

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Member QuestionsProvider QuestionsClaims ProcessEligibilityBenefits

About the role

Key responsibilities & impact

Provides excellent quality customer service to our members and/or providers relating to all aspects of member/provider questions and issues such as eligibility, benefits, claims process, escalations, and product questions, etc.
May include but is not limited to inbound/outbound calls/emails/chats, onsite/remote/virtual/field location, on behalf of CCO.
Meets/Exceeds all performance KPIs including but not limited to quality, productivity, and dependability
Follows established policies and procedures to ensure member and provider issues are addressed timely and accurately
Identifies and de-escalate situations where member/provider is upset and provides resolution for their issue.

Requirements

What you’ll need

High School Diploma or GED from an accredited institution
Prior experience in a customer service environment
Experience participating in cross-functional projects and departmental initiatives related to customer/client interaction and customer service.
Working experience in a fast-paced environment.
Proficient in Microsoft Office Suite applications including Excel, Word, and Outlook.

Benefits

Comp & perks

medical, dental and vision coverage
incentive and recognition programs
life insurance
401k contributions