Required/Preferred Education

• High School Diploma/Associate degree

Expected Shift:

8:00 AM - 5:00 PM EST

Specific Systems Knowledge Required:

MCT

Any Required Certifications:

NoTop Three things Worker will be doing

• Answer member calls, Outbound calls and responding to emailsTop Three Skillsets needed
• Care Navigation & Member Advocacy, Complex Issue Resolution & Escalation Management and Benefits & Product Expertise
• Anything else important we need to know to fill your role: We need someone who has a KP background and have great customer service skillsSpecific Systems Knowledge Preferred
• MCT, HP CHATS, Health Connect and MQVJob Overview (Insert Job Description from Req.)
• The Senior Customer Service Representative will provide specialized concierge-style member advocacy, care navigation, network navigation, and service support for members enrolled in a Choice Product insurance plan
• This role serves as a primary member contact, delivering a high-touch service experience through proactive outreach, ongoing issue resolution, complex care coordination support, and ongoing member engagement
• The position will work collaboratively with clinical, operational, and service teams to help members navigate benefits, access care and services, resolve complex issues, and achieve a seamless experience throughout their participation in the pilot program.

Interview Process:

2 people via teams

• Only those lawfully authorized to work in the designated country associated with the position will be considered.
• Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.

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