Customer Service Representative (Remote EST)

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

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.

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.   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.

6+ months of customer service experience  Basic computer skills  You must live in the Eastern Standard Time Zone.

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