Customer Service Representative- Bakersfield

Customer Service Representative
- Bakersfield 1.2

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Location:

Bakersfield, CA. (Onsite)

Classification:
Full-Time

This position is non‑exempt and will be paid on an hourly basis.

Schedule:

Monday-Friday 8am-5pm

• Medical
• Dental
• Vision
• Paid Time Off (PTO)
• Floating Holiday
• Simple IRA Plan with a 3% Employer Contribution
• Employer Paid Life Insurance
• Employee Assistance Program

The initial pay range for this position upon commencement of employment is projected to fall between $20.00 and $24.99. However, the offered base pay may be subject to adjustments based on various individualized factors, such as the candidate's relevant knowledge, skills, and experience. We believe that exceptional talent deserves exceptional rewards. As a committed and forward‑thinking organization, we offer competitive compensation packages designed to attract and retain top candidates like you.

The Customer Service Representative is tasked with handling incoming calls from various stakeholders, including health plan members, employers, providers, and health plans, regarding inquiries related to benefits, authorizations, claim resolution, and eligibility. They are responsible for assessing the purpose of each call and delivering accurate and relevant information to callers, even when dealing with complex inquiries.

• Handle telephone inquiries from members, employers, providers, and health plan coordinators with professionalism and efficiency.
• Exhibit a courteous, professional, and helpful demeanor to all callers, ensuring a positive customer experience.
• Maintain composure and professionalism when addressing difficult or upset callers, employing de‑escalation techniques as needed.
• Promptly address caller needs by providing accurate information or efficiently transferring the call to the appropriate party or department.
• Adhere to call center standards, including answering calls within established time frames, managing the number of rings, minimizing on‑hold time, and reducing call abandonment rates.
• Consistently provide accurate, detailed, and thorough information to callers, ensuring understanding and resolution.
• Utilize available tools, resources, and Meadnahs to research and resolve moderately complex issues effectively.
• Escalate complex or significant issues to the supervisor or appropriate department, ensuring timely resolution and communication of potential impacts on other areas.
• Maintain accurate records of interactions and resolutions in the designated system to ensure seamless follow‑up and reporting.