**Experienced Customer Service Representative – Work From Home (blithequark REMOTE WORK)**

Are you a customer service enthusiast with a passion for delivering exceptional experiences? Do you thrive in fast-paced environments where no two interactions are ever the same? If so, we invite you to join blithequark as an Experienced Customer Service Representative – Work From Home. As a key member of our team, you will play a vital role in shaping the customer experience and driving business growth. **About blithequark** At blithequark, we're committed to revolutionizing the way we approach healthcare. Our purpose is to bring our heart to every moment of your health, delivering enhanced human-centric healthcare for a rapidly changing world. Anchored in our brand – with heart at its center – our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose, empowering every team member to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make healthcare more personal, convenient, and affordable. **Work From Home Opportunity** As a Work From Home Customer Service Representative, you'll enjoy the flexibility and comfort of working from the convenience of your own home. With a strong internet connection and a dedicated workspace, you'll be able to focus on delivering exceptional customer experiences while enjoying the benefits of a work-life balance. **Responsibilities** As an Experienced Customer Service Representative – Work From Home, your key responsibilities will include: * Maintaining a positive, empathetic, and professional attitude toward customers at all times * Responding promptly to customer inquiries and resolving issues in a timely and efficient manner * Communicating with customers through various channels, including phone, email, and chat * Acknowledging and resolving customer complaints in a fair and transparent manner * Knowing our products and services inside and out, so you can answer questions and provide accurate information * Processing orders, forms, applications, and requests in a timely and accurate manner * Keeping records of customer interactions, transactions, comments, and complaints * Communicating and coordinating with colleagues as necessary to ensure seamless customer experiences * Providing feedback on the efficiency of the customer service process to drive continuous improvement * Managing a team of junior customer service representatives to ensure they have the support and resources they need to succeed **Position Summary** As a Customer Service Representative, you will be responsible for answering questions and resolving issues based on phone calls, letters, and emails from members, providers, and plan sponsors. You will triage resulting rework to appropriate staff, provide excellent customer service for high-volume inbound provider calls, and conduct extensive claims research on multiple platforms to assist providers with payment questions. You will also provide customers with related information to answer unasked questions, use the customer service threshold framework to make financial decisions to resolve member issues, and explain member's rights and responsibilities in accordance with contract. Additionally, you will process claim referrals, new claim handoffs, nurse reviews, complaints, grievances, and appeals via our target system. **Required Qualifications** To be successful in this role, you must: * Live in the state of Oklahoma full-time * Have familiarity with Microsoft Office products * Have experience in a highly transactional call center environment * Possess excellent customer service and critical thinking skills * Have high-speed internet access (25 mbps or higher) and a consistent connection * Set up your work location with a direct connection to the router (NOT Wi-Fi) * Have a high school diploma or GED equivalent **Preferred Qualifications** While not required, the following qualifications are highly desirable: * Experience working in a remote or work-from-home environment * Familiarity with our products and services * Strong problem-solving and analytical skills * Ability to work in a fast-paced environment with multiple priorities * Excellent communication and interpersonal skills **Work Environment and Culture** As a Work From Home Customer Service Representative, you'll be part of a dynamic and supportive team that values collaboration, innovation, and customer satisfaction. You'll have access to a range of resources and tools to help you succeed, including: * Comprehensive training and onboarding program * Ongoing coaching and feedback * Opportunities for professional growth and development * Collaborative and inclusive team environment * Flexible work arrangements to support work-life balance **Compensation and Benefits** As a valued member of our team, you'll enjoy a competitive compensation package, including: * Competitive hourly rate * Opportunities for bonuses and incentives * Comprehensive benefits package, including medical, dental, and vision insurance * 401(k) retirement plan with company match * Paid time off and holidays * Access to our employee assistance program **How to Apply** If you're a motivated and customer-focused individual with a passion for delivering exceptional experiences, we invite you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you! **Equal Employment Opportunity** blithequark is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment that values diversity, equity, and inclusion. **Disability Accommodations** blithequark is committed to providing reasonable accommodations to applicants with disabilities. If you require accommodations during the application or interview process, please notify us in advance so we can make necessary arrangements. **Application Instructions** To apply for this position, please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you! Note: This job posting is a rewritten version of the original job description, with all company names replaced with 'blithequark' as per the instructions. The rewritten job title is also included, which is more descriptive and keyword-rich. Apply for this job