Customer Service Specialist

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. This is 100% inbound customer service environment, with no cold calling or prospecting required. Medica's Customer Service Representatives are the primary contact for members to resolve service inquires for claims, enrollment, billing, pharmacy, as well as interpreting contracts, and explaining benefits. They work telephonically and are responsible for exceptional levels of service satisfaction, providing quality service, and the service recovery process. The service recovery process is critical, and our Customer Service Representatives will utilize this process to assist members in complex situations. Our customer service department offers a fast-paced and rewarding environment where you will receive 4-6 weeks of paid training, comprehensive benefits, and a supportive environment that fosters continual growth! Successful Customer Service Representatives build an amazing base of health plan and health claims knowledge that they leverage to be considered for career advancement opportunities throughout the Call Center and other areas of Medica's business. This class has multiple openings and will start on Monday, August 31st, 2026. Training hours are Monday through Friday from 8:00am-4:30pm CST; after training shifts do change. Our department is open Monday-Friday 7:00am CST- 8:00pm CST, and Saturdays from 9:00am CST - 3:00pm CST. Key Accountabilities Customer Service experience in a Healthcare related setting preferred Excellent verbal and written communication skills Able to deliver high quality service to Medica's members Ability to interact with the team and support each other in dealing with customer issues Advanced ability to multi task and manage time efficiently is needed An ability to identify process improvements, provide mentor and peer feedback, and develop knowledge of multiple products and platforms Demonstrated ability to learn quickly and respond well to a rapidly changing industry and operational environment Required Qualifications High School Diploma, GED or equivalent; equivalent work experience will be considered in lieu of educational requirement 2+ years of customer service experience Schedules after training vary based on business need and may include: 8:00am-5:00pm 9:00am-5:30pm 9:30am-6:00pm 10:00am-6:30pm CST (shift differential incentives are offered for this later shift) 10:30am-7:00pm CST (shift differential incentives are offered for this later shift) 11:30am-8:00pm CST (shift differential incentives are offered for this later shift) 12:00pm- 8:30pm CST (shift differential incentives are offered for this later shift) 12:30pm-9:00pm CST (shift differential incentives are offered for this later shift) *Schedules may include Saturday shifts from 9:00 am - 3:00 pm based on business needs.* This position is a Remote role.   To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI. The full salary grade for this position is $34,100 - $53,200. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $33,300 - $41,370. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data.  In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees. The compensation and benefits information is provided as of the date of this posting. Medica’s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.