Customer Service Representative I
On-site · Las Vegas, Nevada, United States
Las Vegas, Nevada, United StatesOn-siteFull TimeEntry LevelNot SpecifiedUnknown
Type
Full Time
Level
Entry Level
Education
Not Specified
Company size
Unknown
Job Summary
In-office bilingual Customer Service Representative I supporting Culinary Health Fund members and providers; handles benefits, eligibility, claims, and appeals across phone, email, and chat; escalates issues, documents interactions, and ensures regulatory compliance while delivering high-quality, empathetic service to navigate complex inquiries.
Required Qualifications
- Bilingual preferred (English / Spanish)
- Prior customer service experience serving unions preferred
- Prior customer service experience in a high-volume call center, preferably in healthcare, insurance, or a related field is required
- Experience with claims inquiry and claims review procedures, knowledge of medical specialties, fee schedules, complaints and appeals and call center responsibilities required
- Strong communication skills with the ability to explain complex information in a clear and empathetic manner
- Ability to manage multiple inquiries while maintaining attention to detail and accuracy
- Problem-solving skills and the ability to navigate complex eligibility and claims issues
- Effective communication through various channels, including email, chat, and voice
- Salesforce experience preferred
- Intermediate proficiency in Microsoft Office (Word, Excel, Outlook)
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