Job Summary As a Senior Customer Service Representative, you will provide specialized member advocacy, care navigation, and network support for members enrolled in a Choice Product insurance plan. You will serve as the primary point of contact, delivering a high-touch experience through proactive outreach and ongoing engagement. By collaborating seamlessly with clinical, operational, and service teams, you will ensure members can easily navigate their benefits and resolve complex issues. Responsibilities Answer inbound member calls and conduct proactive outbound outreach. Respond promptly and professionally to member emails and inquiries. Provide complex care coordination support and ongoing member engagement. Resolve escalated issues and deliver a seamless, concierge-level experience. Qualifications & Skills 3 to 5 years of related customer service experience, ideally within a major healthcare or insurance environment. High School diploma required; AA/BA preferred (or equivalent years of experience). background in Care Navigation, Member Advocacy, and Benefits Expertise. Proven ability to handle Complex Issue Resolution and Escalation Management. Knowledge of MCT systems is required (experience with HP CHATS, Health Connect, and MQV is highly preferred). Must reside within the MAS region and be able to commute to the New Carrollton, MD office for hybrid/partially remote requirements. Business casual attire required when onsite. INDSCGMH
salary: $24.99 - $25 per hour shift: First work hours: 8 AM - 5 PM education: High School
Responsibilities
Answer inbound member calls and conduct proactive outbound outreach. Respond promptly and professionally to member emails and inquiries. Provide complex care coordination support and ongoing member engagement. Resolve escalated issues and deliver a seamless, concierge-level experience.
Skills
- Customer Service
- care navigation
- member advocacy
Qualifications
- Years of experience: 3 years
- Experience level: Experienced
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Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.