Customer Service Representative - Government Products

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Customer Service Representative - Government Products based in the United States.

This is a fully remote, inbound customer service role supporting members with important healthcare and government-related products and services.

You will serve as a primary point of contact, helping customers navigate claims, enrollment, billing, pharmacy, benefits, and contract questions.

The role combines compassionate service with detailed problem-solving in a fast-paced healthcare environment.

You will use strong communication, multitasking, and service-recovery skills to resolve complex member situations and deliver positive outcomes.

Paid training will provide a strong foundation in health plan and claims knowledge, preparing you for long-term growth.

You’ll work alongside a collaborative team that values accountability, continuous learning, data-driven decisions, and mutual support.

With multiple career pathways available, this opportunity can provide a strong starting point for advancement across customer service and other business functions.

Accountabilities:

• Provide high-quality, empathetic inbound customer service to members, resolving questions and concerns related to claims, enrollment, billing, pharmacy, benefits, contracts, and other health plan services.
• Explain benefits, coverage details, and applicable policies clearly and accurately while ensuring members understand their available options.
• Apply established service-recovery processes to manage complex or sensitive customer situations and work toward effective resolutions.
• Deliver consistently high levels of service satisfaction while maintaining accuracy, professionalism, and appropriate documentation.
• Manage multiple systems, customer interactions, and information sources simultaneously while maintaining efficient time management and attention to detail.
• Collaborate closely with teammates to resolve customer issues, share knowledge, and contribute to a supportive service environment.
• Identify opportunities for process improvements and provide constructive feedback to peers and mentors.
• Develop knowledge across multiple products, platforms, health plan processes, and customer-service procedures.
• Adapt quickly to changes in healthcare regulations, products, processes, systems, and operational priorities.
• Participate in paid training and ongoing learning designed to strengthen healthcare, health-plan, and claims expertise.

Requirements:

• High school diploma, GED, or equivalent; relevant work experience may be considered in place of the educational requirement.
• 2+ years of customer service experience, preferably in a healthcare-related environment.
• Excellent verbal and written communication skills, with the ability to explain complex information clearly and professionally.
• Strong customer-service orientation and demonstrated ability to deliver quality experiences in a member-focused environment.
• Advanced multitasking and time-management abilities, with strong attention to accuracy and detail.
• Ability to learn quickly, retain detailed product and process information, and apply knowledge across multiple systems and platforms.
• Strong collaboration skills and willingness to support colleagues in resolving customer issues.
• Ability to identify process-improvement opportunities and provide constructive mentor or peer feedback.
• Adaptability and resilience when working in a rapidly changing healthcare and operational environment.
• Must be legally authorized to work in the United States; visa sponsorship is not available for this position.
• For remote eligibility, candidates must have a primary home address in an eligible employer-registration state: AR, AZ, FL, GA, IA, IL, KS, KY, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, or WI.

Benefits:

• Fully remote work opportunity within eligible U.S. states.
• 4-6 weeks of paid training, with training scheduled Monday through Friday, 8:00 a.m.-4:30 p.m. CT.
• Competitive salary grade of $34,100-$53,200, with a typical hiring range of $33,300-$43,680, depending on qualifications and other applicable factors.
• Potential eligibility for additional incentive-plan compensation.
• Medical, dental, and vision coverage.
• Paid time off and paid holidays.
• Paid volunteer time off.
• 401(k) contributions.
• Caregiver support services.
• Shift differential incentives for qualifying later shifts.
• Opportunities for career advancement within customer service and other areas of the organization.
• Supportive, collaborative work environment focused on continuous learning and professional development.
• Multiple post-training schedules available between 8:00 a.m. and 9:00 p.m. CT, based on business needs.
• Equal opportunity workplace committed to considering qualified candidates fairly and fostering an inclusive environment.