Description We are looking for a Customer Service Representative to support members with pharmacy benefit questions and service needs in Westminster, California. This is a Contract position within the healthcare industry, focused on delivering clear, timely, and detail-oriented assistance through high-volume phone-based interactions. The ideal candidate brings strong call center experience, attention to detail, and a commitment to helping members navigate coverage, refills, and related service requests.
Responsibilities:
- Respond to inbound member and prospective member inquiries related to pharmacy benefits, providing accurate and easy-to-understand information.
- Coordinate refill support with participating pharmacy partners when members need assistance completing the process.
- Escalate clinical questions or medication-related concerns to appropriate clinical leadership for further review.
- Collaborate with internal teams focused on medication adherence initiatives to help improve member engagement and outcomes.
- Take part in outbound and follow-up calling campaigns assigned by leadership to support member service objectives.
- Record interactions thoroughly in designated systems, including actions taken, required forms, and relevant follow-up details.
- Adhere to established policies, job aids, and workflow procedures while identifying process issues and suggesting practical improvements.
- Participate in team meetings, training sessions, and ongoing coaching to strengthen service quality and operational performance.
- Maintain compliance with applicable federal and state regulations as well as company standards governing health plan operations.
- Support additional service-related tasks and special assignments as needed by the department. Requirements
- Minimum of 2 years of experience in customer service, preferably in a call center or healthcare-related environment.
- Ability to manage inbound and outbound calls professionally while delivering accurate and courteous service.
- Experience handling customer inquiries, service requests, or order entry with strong attention to detail.
- Clear verbal and written communication skills with the ability to explain benefit information effectively.
- Comfortable working in an environment that emphasizes regular coaching, feedback, and continuous improvement.
- Proficiency in documenting customer interactions accurately within computer-based systems.
- Strong problem-solving skills and the ability to follow procedures in a fast-paced, service-driven setting.
TalentMatch® Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) and Privacy Notice (https://www.roberthalf.com/us/en/privacy) .