Customer Service Representative

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. 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. Performance Measures 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. Leadership and Welcome Teams 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. This position pays $18.50/hour. Qualified new hires are eligible for a $2,000 sign‑on bonus after 9 months of service. Must remain continuously employed for a minimum 12 months. Required Qualifications 6+ months of customer service experience Basic computer skills Must live in Arizona, Colorado, Montana, New Mexico, Utah, Wyoming, Idaho, Oregon, Washington, or Nevada Preferred Qualifications 1+ years of customer service experience in a contact center environment, which may include calls, chats or email correspondence depending on role 1+ years of claims, provider, dental, medical or other related healthcare experience Microsoft office experience preferred Education High School Diploma, GED, or equivalent experience. Additional Requirements High‑speed internet access with adherence to workplace model and potential telework agreements. Willingness to work specific hours, with flexibility Work Schedule Anticipated Weekly Hours: 40 Time Type: Full time Pay Range The typical pay range for this role is: $17.00 - $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. Benefits Great benefits for great people. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr