Customer Support Representative

Customer Support Representative

We are seeking a compassionate and detail-oriented Customer Support Representative to join our customer service team in Avon, CT. This role is focused on providing support to Medicare participants, primarily individuals aged 65 and older. The ideal candidate will have prior customer service experience, excellent communication skills, and the ability to navigate sensitive healthcare-related issues with empathy and professionalism.

Key Responsibilities:

• Serve as the primary point of contact for Medicare members, providers, pharmacies, and other insurance carriers.
• Assist with claim and prescription-related issues via phone and email.
• Clearly explain benefits and resolve inquiries with patience and care.
• Ensure timely and accurate documentation of all member interactions.
• Collaborate with internal teams to research and resolve complex cases.
• Follow up consistently to ensure issues are fully resolved.
• Maintain compliance with industry regulations and complete all required training.

Qualifications:

• Previous experience in customer service, ideally in a healthcare or insurance environment.
• Knowledge of Medicare, Medicare Part D, and general insurance terminology.
• Excellent verbal and written communication skills.
• Strong problem-solving and organizational skills.
• Ability to multi-task, stay focused, and pay close attention to detail.
• Proficient in Microsoft Outlook, Word, and Excel.
• Comfortable navigating internal databases and web-based platforms.
• Demonstrated patience, empathy, and professionalism.