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Experienced Health Plan Customer Service Representative – Remote National Opportunity for Delivering Exceptional Member Experiences

Remote, USA Full-time Posted 2025-11-24

Welcome to blithequark: Improving Lives through Exceptional Health Plan Services

At blithequark, we are dedicated to enhancing the quality, accessibility, and affordability of healthcare for our members. Our mission is built on the foundation of hiring talented and compassionate individuals who share our vision of improving member outcomes. As a leader in the health plan industry, we strive to make a positive impact on the lives of our members, and we are seeking a skilled Health Plan Customer Service Representative to join our team.

Job Overview: Health Plan Customer Service Representative

As a Health Plan Customer Service Representative at blithequark, you will play a vital role in ensuring that our members receive exceptional service and support. Your primary responsibility will be to handle customer calls, addressing questions, concerns, and issues in a professional and empathetic manner. You will work in a fast-paced call center environment, utilizing your excellent communication skills to provide timely and effective solutions to our members.

Key Responsibilities:

  • Answer customer calls, responding to questions, and resolving issues in a courteous and professional manner
  • Provide accurate and timely information to members, addressing concerns and complaints in a empathetic and solution-focused way
  • Utilize problem-solving skills to troubleshoot and resolve complex issues, escalating cases as necessary to ensure prompt resolution
  • Make outbound calls to provide sales support, follow up on inquiries, and offer additional services or products to members
  • Collaborate with internal teams, including sales, marketing, and operations, to ensure seamless delivery of services and support
  • Stay up-to-date with industry developments, product knowledge, and company policies to provide informed and effective support to members

Essential Qualifications:

To succeed as a Health Plan Customer Service Representative at blithequark, you will need to possess the following essential qualifications:

  • High school diploma or equivalent required; associate's or bachelor's degree preferred
  • Minimum 1-2 years of experience in customer service, call center, or related field
  • Excellent communication, interpersonal, and problem-solving skills
  • Ability to work in a fast-paced environment, handling multiple calls and tasks simultaneously
  • Strong analytical and critical thinking skills, with attention to detail and ability to resolve complex issues
  • Proficiency in computer applications, including CRM software, Microsoft Office, and other relevant tools

Preferred Qualifications:

While not required, the following preferred qualifications will be considered an asset for this role:

  • Experience in the health plan or healthcare industry, with knowledge of health insurance products and services
  • Certifications in customer service, call center, or related field (e.g., CCNA, CPC, or CMC)
  • Bilingual or multilingual skills, with ability to communicate effectively with diverse member populations
  • Experience with sales support, account management, or business development
  • Knowledge of industry-specific software and systems, such as claims processing or member management platforms

Skills and Competencies:

To excel in this role, you will need to demonstrate the following skills and competencies:

  • Communication skills: excellent verbal and written communication, with ability to articulate complex information in a clear and concise manner
  • Problem-solving skills: strong analytical and critical thinking skills, with ability to resolve complex issues and think creatively
  • Interpersonal skills: excellent interpersonal and customer service skills, with ability to build rapport and trust with members
  • Technical skills: proficiency in computer applications, including CRM software, Microsoft Office, and other relevant tools
  • Adaptability and flexibility: ability to work in a fast-paced environment, adapting to changing priorities and deadlines

Career Growth Opportunities and Learning Benefits:

At blithequark, we are committed to supporting the growth and development of our employees. As a Health Plan Customer Service Representative, you will have access to:

  • Comprehensive training programs, including onboarding, product knowledge, and soft skills development
  • Ongoing coaching and feedback, with regular performance evaluations and goal setting
  • Opportunities for career advancement, including promotions, lateral moves, and professional development
  • Access to industry-leading conferences, workshops, and webinars, with opportunities for networking and knowledge sharing
  • A supportive and collaborative work environment, with a focus on teamwork, innovation, and continuous improvement

Work Environment and Company Culture:

At blithequark, we pride ourselves on our positive and inclusive company culture. As a Health Plan Customer Service Representative, you will be part of a dynamic and supportive team, with access to:

  • A remote work environment, with flexible scheduling and work-life balance
  • A comprehensive benefits package, including medical, dental, and vision coverage, as well as 401(k) matching and retirement planning
  • A collaborative and innovative work environment, with opportunities for feedback, suggestions, and recognition
  • A commitment to diversity, equity, and inclusion, with a focus on creating a welcoming and inclusive workplace culture
  • A strong focus on employee well-being, with access to wellness programs, employee assistance programs, and mental health resources

Compensation, Perks, and Benefits:

At blithequark, we offer a competitive compensation package, including:

  • A competitive hourly rate or salary, with opportunities for bonuses and incentives
  • A comprehensive benefits package, including medical, dental, and vision coverage, as well as 401(k) matching and retirement planning
  • Flexible scheduling and remote work options, with opportunities for work-life balance and flexibility
  • Access to professional development opportunities, including training, coaching, and mentorship
  • A positive and supportive work environment, with a focus on teamwork, innovation, and continuous improvement

Conclusion:

If you are a motivated and compassionate individual, with a passion for delivering exceptional customer service and support, we encourage you to apply for this exciting opportunity at blithequark. As a Health Plan Customer Service Representative, you will be part of a dynamic and supportive team, with access to comprehensive training, career growth opportunities, and a positive and inclusive company culture. Join us in our mission to improve the lives of our members, and take the first step towards a rewarding and challenging career in the health plan industry.

Apply now to become a part of the blithequark team and start making a difference in the lives of our members!

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