Customer Service Representative

06132 Hartford, Connecticut UnitedHealth Group

Posted 1 day ago

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Job Description

_If you are located within Mainland USA, you will have the flexibility to work remotely* as you take on some tough challenges._
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
The **Customer Service Representative** is responsible for providing telephonic support to patients, customers, and providers. This role involves handling inbound and outbound calls, scheduling appointments, verifying insurance, and updating patient records. The representative will apply moderate knowledge and skills to resolve routine issues independently and collaborate with supervisors for more complex matters. This position requires strong communication, organizational, and technical skills to ensure high-quality service delivery.
This position is full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 8:00pm EST. Final shift assignments will be provided after training and may vary based on business needs. It may be necessary, given the business need, to work occasional overtime.
We offer 8 weeks of on-the-job training. The hours of training will be 8:30am to 5:00pm EST, Monday - Friday.
**Primary Responsibilities:**
+ Handle inbound and outbound calls to identify patient needs and provide appropriate support
+ Schedule, reschedule, confirm, and cancel patient appointments.
+ Accurately enter and update patient information in the scheduling system.
+ Verify insurance eligibility and identify payer sources.
+ Review and update patient demographics and consent forms.
+ Create new patient accounts when necessary.
+ Transfer calls or relay messages to facilities, physicians and/or nurses
+ Maintain patient confidentiality in accordance with company policies and HIPAA regulations.
+ Resolve caller inquiries using internal resources and escalate when needed.
+ Document all interactions and resolutions accurately.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED
+ Must be 18 years of age or older
+ 1+ years of experience scheduling patient appointments in a call center or high-volume call environment
+ 6 + months of experience with Microsoft Word/Excel or Google Docs/Sheets.Must be available to work any 8-hour shift between 8:00 AM and 8:00 PM EST, including weekends. Final shift assignments will be provided after training and may vary based on business needs.
+ Must be available to train for the first 8 weeks, Monday through Friday, from 8:30 AM to 5:00 PM EST. 100% attendance is required during the first four weeks of training. Time-off requests for remaining training period will be reviewed on a case-by-case basis
+ Must be available to work any 8-hour shift between 8:00 AM and 8:00 PM EST, including weekends. Final shift assignments will be provided after training and may vary based on business needs.
**Preferred Qualifications:**
+ Bilingual fluency in English and Spanish
+ Experience in medical/dental office or scheduling environment
+ Familiarity with healthcare terminology and benefit structures
+ Understanding of HIPAA and other regulatory requirements
**Telecommuting Requirements:**
+ Reside within Mainland USA
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
**Soft Skills:**
+ Strong interpersonal and active listening skills
+ Detail-oriented with effective written communication
+ Ability to learn and navigate complex computer systems
+ Professional, courteous, and cooperative demeanor
+ Ability to troubleshoot and follow up on customer issues
**Physical and Work Environment:**
+ Remote work environment
+ Prolonged periods of sitting
+ Extensive use of phone and computer systems, including the ability to multitask across dual monitors
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 - $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
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Customer Service Representative

06132 Hartford, Connecticut CVS Health

Posted today

Job Viewed

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Job Description

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Requisition Job Description
**Position Summary:**
We are seeking a compassionate, customer-obsessed _Customer Service Representative_ to care for our customers. Our customers include members of our benefit plans, employers that offer benefits, doctors, hospitals, and other providers of healthcare. In this role, you will create connections with our customers by helping with their benefits and claims to improve their health and well-being. You will be responsible for educating customers about their benefits and claims while resolving issues and directing them to helpful resources. This position requires adaptability and empathy, as you will be handling a variety of inquiries and ensuring customer satisfaction through kind and respectful interactions.
As the face of our company, you will care for our customers by researching issues, documenting outcomes, resolving inquiries and delivering a high level of customer satisfaction. Your ability to listen and respond to customer needs is crucial in inspiring trust and loyalty.
This position pays $20.00/hr
**Key Responsibilities:**
+ **Actively listen and be an advocate for** customers, understand their needs and provide guidance and support
+ **Resolve** customer inquiries and issues efficiently while documenting all interactions.
+ **Educate** customers about available resources and assist them in navigating their options.
+ **Anticipate** customer needs and **provide proactive solutions** to enhance satisfaction.
+ **Collaborate** with team members and other departments to address service issues and improve outcomes.
+ **Document** all customer correspondence and maintain confidential records of patient information.
+ **Follow policies, procedures, and the CVS/Aetna Code of Conduct.**
Your performance will be measured by:
+ **Customer satisfaction** with the service you provide.
+ **Demonstrating CVS/Aetna's "Heart at Work" behaviors** including Putting People First, Joining Forces, and Inspiring Trust.
+ **Your ability to resolve customer issues the first time they call.**
+ **Quality and accuracy** of interactions with customers.
+ **Reporting to work and adhering to your assigned schedule.**
Our Leadership and Welcome Teams will help you succeed by providing:
+ New colleague orientation to learn about our company and your role.
+ Engaging and comprehensive training ranging from 4 to 18 weeks depending on the customers supported.
+ A supportive and inclusive culture that will allow for continuous learning and growth.
+ Ongoing coaching and mentoring support.
+ Equipment and resources needed to complete assigned work.
**Key Competencies and Behavioral Requirements:**
+ **Demonstrated empathy** and effective communication skills.
+ **Respectful and kind** demeanor in all communications while being an advocate for our customers
+ **Strong problem-solving and decision-making abilities.**
+ **Ability to manage multiple resources and tasks in a fast-paced environment.**
**Required Qualifications:**
+ 6+ months of customer service experience.
+ Basic computer skills.
+ Must be able to go onsite in Hartford, CT.
**Preferred Qualifications:**
+ 1+ years of customer service experience in a contact center environment, which may include calls, chats or email correspondence depending on role.
+ Microsoft office experience preferred.
**Education:**
High School Diploma, GED, or equivalent experience.
**You must have:**
+ High-speed internet access with adherence to workplace model and potential telework agreements.
+ Willingness to work specific hours, with flexibility.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$7.00 - 31.30
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 11/14/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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SCA Customer Service Representative

06132 Hartford, Connecticut UnitedHealth Group

Posted today

Job Viewed

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Job Description

**$ 1,500 Sign-On Bonus for External Candidates**
_This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
This position is full-time (40 hours/week) Monday- Friday and Rotating Saturdays. Employees are required to have flexibility to work any 8-hour shift during the hours of 6am-12am CST Monday- Friday and rotating shift of Saturday 7am-5pm CST. It may be necessary, given the business need, to work occasional overtime and weekends.
We offer 8 weeks of virtual on-the-job training, The hours of the role will be 8:00am - 4:30pm CST. Training will be conducted virtually from your home. 100% attendance is REQUIRED.
**Primary Responsibilities:**
+ Make contacts to schedule a variety of specific medical and dental services in accordance with customer availability and contract guidelines. Respond to a variety of inquiries and resolves issues with regard to the appointment scheduling/fulfillment processing and service completion in a timely manner while maintaining sensitivity toward military culture.
+ Conduct customer contacts related to Health Assessment processing, referral follow-up, educations and resource inquiries.
+ Identify potential behavioral health situations and follow contract specific protocol to assist callers.
+ Maintain constant awareness of service level and queue status in order to meet contractual requirements.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED OR equivalent work experience
+ Must be 18 years of age OR older
+ Customer service experience
+ Training is virtual and 100% attendance is required - must work M-F 8am-4:30pm CST for 8 weeks
+ Ability to work full-time (40 hours/week) Monday- Friday and Rotating Saturdays. Employees are required to have flexibility to work any 8-hour shift during the hours of 6am-12am CST, Monday- Friday and rotating shift of Saturday 7am-5pm CST. It may be necessary, given the business need, to work occasional overtime and weekends.
**Preferred Qualifications:**
+ Proficient computer skills including Microsoft Office programs such as Microsoft Excel (general spreadsheet navigation, data entry and sorting), Microsoft Word (creating and editing word documents) and Microsoft Outlook (email and calendar)
+ Experience working in the Healthcare Industry
+ Experience working with Medicaid or Medicare
+ Experience working in a call center environment
+ Military experience
**Telecommuting Requirements:**
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $6.00 - 27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
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Senior Customer Service Representative

06132 Hartford, Connecticut CVS Health

Posted today

Job Viewed

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Job Description

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
+ Making out bound calls to clients and payers, while working with other teams to resolve claims issues.
+ Documenting claims details into necessary tools.
+ Presenting data from spreadsheet to high level provider groups.
+ Working with staff to ensure work is completed timely and accurately.
**Required Qualifications**
+ 1+ years of experience working with medical claims with the understanding of how benefit levels are applied.
+ 1+ years of experience working in the healthcare industry.
+ Previous experience and comfortability with presentations.
+ Proficiency with Microsoft Office Applications (Word, Excel, Outlook, PowerPoint).
+ Must be able to work standard business hours in Eastern Standard Time.
**Preferred Qualifications**
+ Previous health insurance work experience.
+ Excellent verbal and written communication skills.
+ Strong organizational skills.
**Education**
+ High school diploma or GED.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$18.50 - $42.35
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 10/25/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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Senior Customer Service Representative

06132 Hartford, Connecticut UnitedHealth Group

Posted 1 day ago

Job Viewed

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Job Description

_This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
As a **Senior Customer Service Representative,** you'll compassionately deliver an exceptional experience to between 50 to 70 callers per day, always remembering that there is a real person on the other end of the phone who is looking for help, guidance, and support. You'll also provide support to your team members by serving as a resource or subject matter expert. Both are opportunities for you to identify and exceed our customer expectations by committing to and building strong relationships internally and externally. At the end, you'll know you performed with integrity and delivered the best customer service experience making all your customers and team members feel better because they talked to you.
This position is full-time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 12:30pm - 9:00pm MST including a Saturday shift. It may be necessary, given the business need, to work occasional overtime.
We offer 2 weeks of paid training. The hours of training will be based on your schedule or will be discussed on your first day of employment.
**Primary Responsibilities:**
+ Serve as a resource or Subject Matter Expert (SME) for other team members or internal customers
+ Handle escalated calls, resolving more complex customer issues in a one and done mannerAnswer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs)
+ Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
+ Assist customers in navigating UnitedHealth Group & Optum websites and encourage and reassure them to become self-sufficient
+ Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow-up with the member
+ Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
+ Meet the performance goals established for the position in the areas of efficiency, call quality, provider satisfaction, first call resolution and attendance.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High school diploma / GED OR equivalent years of working experience
+ Must be 18 years of age OR older
+ 1+ years of customer service experience in a call center or high-volume call environment
+ Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications.
+ Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management)
+ Ability to work any of our 8-hour shift schedules during our normal business hours 12:30PM - 09:00PM MST, including a Saturday shift and mandatory overtime during peak season
**Preferred Qualifications:**
+ 1+ years Customer Service Representative (CSR) experience or 1+ years of experience in an office setting, call center setting or phone support role
+ Bilingual and fluent in English/Spanish
+ Familiarity with CRM systems, email, and chat platform
**Telecommuting Requirements:**
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
**Soft Skills:**
+ Communication, clear verbal and written communication skills.
+ Empathy, ability to understand and relate to customer concerns.
+ Problem-Solving, quick thinking and resourcefulness to resolve issues.
+ Patience, staying calm and professional, especially with difficult customers.
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $17.74 - $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
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Customer Service Representative/HNAS

06132 Hartford, Connecticut Highmark Health

Posted 1 day ago

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Job Description

**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
*** The SHIFT for this Position is 2nd Shift 1:30 pm -10 pm EST***
This job resolves standard and occasional non-standard customer inquiries, comments, and concerns by applying a seamless and positive customer experience gained through many recurring cycles of on the job work engagement.
**ESSENTIAL RESPONSIBILITIES**
+ Engages with customers in a confident and compelling manner, performing the full range of customer service duties and responsibilities, as assigned.
+ Strives to resolve customer concerns in a single interaction via telephone, written, or face to face communication.
+ Responds to a diverse set of customers with an equal level of confidence regardless of the issue at hand.
+ Works independently of support from a senior customer service representative, frequently utilizing the knowledge center, answering customer inquiries.
+ Routinely responds to customers with an in-depth product knowledge achieved through a continuously improving set of listening, analysis, quality focus, problem solving, and documentation skills.
+ Consistently exceeds results for internal adherence, efficiency, and inquiry timeliness.
+ Resolves standard and frequently non-routine, limited impact, customer inquiries, comments, and concerns with the most limited escalation consistent with company policies and processes.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ High School Diploma/GED
**Substitutions**
+ None
**Preferred**
+ None
**EXPERIENCE**
**Required**
+ 1-3 years experience in customer service or call center environment
**Preferred**
+ None
**LICENSES or CERTIFICATIONS**
**Required**
+ None
**Preferred**
+ None
**SKILLS**
+ Applies in-depth product knowledge obtained through ongoing cycles of working with routine and non-routine subject matter
+ Regardless of recurring and routine customer inquiries, comments, and concerns, approaches each and every interaction with superior listening skills
+ Multi-tasks with a high level of efficiency yet treats every customer as the most important during the interaction so as not to leave the customer with a hurried impression
+ Ability to ask effective probing and/or open and closed ended questions that will help in issue resolution in a conversational manner with customers, using verbal clues and system tools to develop tailored recommendations for the customer
+ Ability to master initial training competencies while demonstrating the ability to learn additional competencies through additional training
+ Ability to de-escalate challenging customer inquiries, comments, and concerns while delivering necessary information consistent with Company policies and processes
**LANGUAGE REQUIREMENT (Other than English)?**
None
**Travel Requirement**
0% - 25%
**PHYSICAL, MENTAL DEMANDS AND WORKING CONDITIONS**
**Position Type**
Office-based
Teaches/Trains others regularly
Rarely
Travels regularly from the office to various work sites or from site-to-site
Does Not Apply
Works primarily out-of-the office selling products/services (Sales employees)
Does Not Apply
Physical Work Site Required
No
Lifting up to 10 pounds
Rarely
Lifting 10 to 25 pound
Rarely
Lifting 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement:_** _This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$19.27
**Pay Range Maximum:**
$26.88
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J
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Customer Service Representative - Remote

06132 Hartford, Connecticut Sharecare

Posted 3 days ago

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Job Description

**Job Description:**
Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit .
**Job Summary:**
The Customer Service Representative (CSR) answers inbound calls from members and providers, inputs data, and provides a high level of customer service always extending courtesy and professionalism. The CSR handles inbound customer service inquiries and problems via the telephone and email while effectively recording communications accurately and consistently. Calls are predominantly "routine", but may require deviation from standard screens, scripts and procedures. CSRs use a computerized system for tracking calls, information gathering, and/or troubleshooting and may assess needs, explain programs and suggest/promote alternative products or services. 
***This is a remote position and can be located anywhere within the United States.**
**Essential Job Functions:**
+ Identify, evaluate and prioritize caller needs, questions and concerns. 
+ Formulate plans of resolution and respond appropriately and efficiently. 
+ Maintain and restore customer satisfaction and partner with other teams as needed. 
+ Perform problem analysis, problem determination and recommended resolutions to the callers in accordance with standard protocol. 
+ Proactively educate caller on program benefits. 
+ Meet or exceed established call center metrics, attendance standards and quality levels. 
+ Use computer tools to accurately process and document information. 
+ Develop rapport with callers and appropriately adjust communication style.  
+ Provide accurate information about Sharecare programs and services. 
+ Escalate issues internally and follow up on escalated issues. 
**Qualifications:**
+ High School Diploma 
+ Prior experience in a customer service related field preferred
+ Great communication skills 
+ Must be able to multi-task 
+ General working knowledge of Microsoft Word & Outlook 
+ Computer keyboard proficiency and internet navigation skills required 
+ Have the ability to work effectively with others in a team environment  
+ Ability to thrive in a fast-growing always changing environment 
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
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Limited Service Customer Service Representative -(Remote)

06101 Hartford, Connecticut Maximus

Posted 26 days ago

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Job Description

Permanent
Description & Requirements

Maximus is currently hiring a Limited Service Customer Service Representative to support our SOA Maine State Based Marketplace team. This is a remote opportunity. The Customer Service Representative is responsible for answering inbound calls, making outbound calls, assisting consumers with applications for coverage, and applying for financial assistance, as well as processing document verifications.

The Maine State-based Marketplace (ME SBM) project provides support for the Maine State-based Marketplace, Consumer Assistance Center. We provide customer service assistance for the State-run health insurance marketplace that the citizens of Maine can access to shop for health care coverage and enroll in a plan.

**Must be wiling and able to accept a limited service position.**

Why Maximus?

Work/Life Balance Support - Flexibility tailored to your needs!

• Competitive Compensation - Bonuses based on performance included!

• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.

• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.

• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.

• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).

• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.

• Tuition Reimbursement - Invest in your ongoing education and development.

• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.

• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.

• Professional Development Opportunities-Participate in training programs, workshops, and conferences

Essential Duties and Responsibilities:

- Answer incoming calls from consumers including the general public, prospective enrollees and people assisting enrollees or acting on their behalf in accordance with all performance standards, policy and procedures, and protocols including but not limited to the confidentiality and privacy policies.

- Respond effectively to all forms of inbound and outbound contacts.

- Track and document all inquiries using the applicable systems.

- Transfer/refer consumers to appropriate entities according to the established guidelines.

Facilitate the fulfillment of caller requests for materials via mail, email, or download.

- Facilitate translation services for non-English speaking callers according to procedures.

- Escalate calls or issues to the appropriate designated staff for resolution as needed.

- Attend meetings and trainings as requested and maintain up-to-date knowledge of all programs and systems.

Minimum Requirements

- High school diploma or GED required and 6+ months of relevant professional experience required, or equivalent combination of education and experience.

- Previous experience on the Maine SBM project within the last year is required.

- Must be willing and able to accept a Limited Service position.

Home Office Requirements:

- Internet speed of 25mbps or higher required (you can test this by going to

- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router.

- Must currently and permanently reside in the Continental US.

EEO Statement

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Pay Transparency

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.

Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at .

Minimum Salary

$

17.00

Maximum Salary

$

17.00

Apply Now

Customer Service Representative II (Remote Limited Service)

06101 Hartford, Connecticut Maximus

Posted 21 days ago

Job Viewed

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Job Description

Permanent
Description & Requirements

Maximus is looking to fill a Customer Service Representative II position (CSR II). This position supports our CDC INFO program. CDC-INFO is the CDC's national contact center, providing information to the public, healthcare providers, and public health professionals. CDC-INFO offers CSR via phone, email, or chat to help find the most up-to-date, reliable, consistent, and science-based health information on more than 750 health and COVID related topics.

*** Position is a temporary and remote position ***

*** Must be available to work weekends and holidays as needed. The hours of operation are Monday - Friday 8:00 AM - 8:00 PM EST***

Essential Duties and Responsibilities:

- Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters).

- Calls are predominantly routine, but may require deviation from standard screens, scripts, and procedures.

- Uses computerized system for tracking, information gathering, and/or troubleshooting.

- Provides feedback when needed, provide input on call trends, processes, procedures, and training.
- May respond to customer inquiries by referring them to published materials, secondary sources, or more senior staff.

Education and Responsibilities:

- High School diploma or GED required

- Minimum six (6) months customer service/administrative /call center experience required

- Must be able to speak and write English clearly and professionally

- Successfully complete the written assessment

- Highly effective communicator with strong ability to provide an excellent empathetic customer experience

- Excellent listening, comprehension, communications (verbal and written), problem solving and customer service skills

- Experience working with a PC, MS Word and Outlook required

- Must have demonstrated excellent interpersonal and leadership skills and the ability to organize simultaneous tasks

- Proven ability to work as a member of a team, as well as independently

- All CDC INFO personnel will be required by contract to undergo periodic program update training as the program changes

- All CDC INFO personnel are required to sign a Statement of Understanding and Non-Disclosure

Previous experience with phone systems, and headset preferred

- Must be able to work from home and comply with remote working policies and requirements

- Flexibility - Required to work holidays, weekends and /or weekends to meet operational needs

- Must be able to work alternate schedules

- Customer service is the primary function

- Answer Incoming calls, emails, chats, SMS Text, and provide assistance in scheduling vaccines or sending out kits, from general public, clinicians and government officials in accordance with all CDC and Maximus performance standards, policy and procedures, and protocols including but not limited to the confidentiality and privacy policy

- Call, email, chat, vaccine appointments and sending out kits are predominantly routine, but may require deviation from standard screens, scripts, and procedures

- Utilize databases and written materials to look up and provide information to telephone, email, chat inquiries as well as scheduling appointments and sending out kits

- Maintain up-to-date knowledge of CDC Public Response , procedures, and policies to provide knowledgeable responses to numerous inquiries in a courteous, timely and professional manner

- Track and document all inquiries, appointments, kits, using CRM and applicable systems

- Meet Quality Assurance (QA) and other key performance metrics

- Escalate calls, emails, chat, scheduling or kit related issues to the appropriate designated group

- Continually look for and suggest process improvements, which will benefit MAXIMUS, CDC, and the public (inquirers)

- Attend meetings and training as requested and maintain up to date knowledge of public response, programs, and systems

*** This position you will need to use your own device personal computer or laptop. No Tablets, iPads, and Chromebooks are not permitted.***

Home Office Requirements:

- Hardwired internet (ethernet) connection.

- Required Internet speeds - Minimum download 25mbps or higher and minimum upload speed 10mbps or higher (you can test this by going to (1)

- Private work area and adequate power source.

-Video calls may be requested on occasion. Proper background and attire is required.

*** Must provide your own device/equipment: Computer or Laptop required, head set with microphone and monitor required ***

- Windows or Mac (Tablets, iPads, and Chromebooks are not permitted.)

OS for Windows - Windows 10 or Windows 11

OS for Mac - Big Sur (11.0.1+); Catalina (10.15); Monterey (12.3)

Minimum Requirements

- High School diploma or equivalent with 6 months of customer service experience.

- May have additional training or education in area of specialization.

EEO Statement

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Pay Transparency

For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.

Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at .

Minimum Salary

$

17.75

Maximum Salary

$

24.16

Apply Now

Customer Service Representative II (Remote Limited Service)

06101 Hartford, Connecticut Maximus

Posted 23 days ago

Job Viewed

Tap Again To Close

Job Description

Permanent
Description & Requirements

Maximus is looking to fill a Customer Service Representative II position (CSR II). This position supports our CDC INFO program. CDC-INFO is the CDC's national contact center, providing information to the public, healthcare providers, and public health professionals. CDC-INFO offers CSR via phone, email, or chat to help find the most up-to-date, reliable, consistent, and science-based health information on more than 750 health and COVID related topics.

***Must be able to start work on 10/6/2025***

*** Position is a temporary and remote position ***

*** Must be available to work weekends and holidays as needed. The hours of operation are Monday - Friday 8:00 AM - 8:00 PM EST***

Essential Duties and Responsibilities:

- Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters).

- Calls are predominantly routine, but may require deviation from standard screens, scripts, and procedures.

- Uses computerized system for tracking, information gathering, and/or troubleshooting.

- Provides feedback when needed, provide input on call trends, processes, procedures, and training.
- May respond to customer inquiries by referring them to published materials, secondary sources, or more senior staff.

Education and Responsibilities:

- High School diploma or GED required

- Minimum six (6) months customer service/administrative /call center experience required

- Must be able to speak and write English clearly and professionally

- Successfully complete the written assessment

- Highly effective communicator with strong ability to provide an excellent empathetic customer experience

- Excellent listening, comprehension, communications (verbal and written), problem solving and customer service skills

- Experience working with a PC, MS Word and Outlook required

- Must have demonstrated excellent interpersonal and leadership skills and the ability to organize simultaneous tasks

- Proven ability to work as a member of a team, as well as independently

- All CDC INFO personnel will be required by contract to undergo periodic program update training as the program changes

- All CDC INFO personnel are required to sign a Statement of Understanding and Non-Disclosure

Previous experience with phone systems, and headset preferred

- Must be able to work from home and comply with remote working policies and requirements

- Flexibility - Required to work holidays, weekends and /or weekends to meet operational needs

- Must be able to work alternate schedules

- Customer service is the primary function

- Answer Incoming calls, emails, chats, SMS Text, and provide assistance in scheduling vaccines or sending out kits, from general public, clinicians and government officials in accordance with all CDC and Maximus performance standards, policy and procedures, and protocols including but not limited to the confidentiality and privacy policy

- Call, email, chat, vaccine appointments and sending out kits are predominantly routine, but may require deviation from standard screens, scripts, and procedures

- Utilize databases and written materials to look up and provide information to telephone, email, chat inquiries as well as scheduling appointments and sending out kits

- Maintain up-to-date knowledge of CDC Public Response , procedures, and policies to provide knowledgeable responses to numerous inquiries in a courteous, timely and professional manner

- Track and document all inquiries, appointments, kits, using CRM and applicable systems

- Meet Quality Assurance (QA) and other key performance metrics

- Escalate calls, emails, chat, scheduling or kit related issues to the appropriate designated group

- Continually look for and suggest process improvements, which will benefit MAXIMUS, CDC, and the public (inquirers)

- Attend meetings and training as requested and maintain up to date knowledge of public response, programs, and systems.

*** This position you will need to use your own device personal computer or laptop. No Tablets, iPads, and Chromebooks are not permitted. ***

Must provide your own device/equipment: Computer or Laptop required, head set with microphone and monitor required

- Windows or Mac (Tablets, iPads, and Chromebooks are not permitted.)

OS for Windows - Windows 10 or Windows 11

OS for Mac - Big Sur (11.0.1+); Catalina (10.15); Monterey (12.3)

Home Office Requirements:

- Hardwired internet (ethernet) connection.

- Required Internet speeds - Minimum download 25mbps or higher and minimum upload speed 10mbps or higher (you can test this by going to (1)

- Private work area and adequate power source.

-Video calls may be requested on occasion. Proper background and attire is required.

Minimum Requirements

- High School diploma or equivalent with 6 months of customer service experience.

- May have additional training or education in area of specialization.

EEO Statement

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Pay Transparency

For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.

Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at .

Minimum Salary

$

17.75

Maximum Salary

$

24.16

Apply Now

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