Customer Service Representative I (HNGSS)

You could be the one who changes everything for our 26 million members as a Customer Care professional at Centene. As a diversified, national organization, you�??ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: The Customer Service Representative (CSR) functions as a primary resource in handling TRICARE customer contacts via telephone, ranging from routine to complex. The CSR provides clear and concise education concerning the TRICARE medical benefits and government policies and procedures. The CSR assists beneficiaries with benefit information, referral and authorization requirements, claims, provider locations and all other routine TRICARE issues. The CSR forwards escalated or crisis calls to appropriate staff members.

• Answers phones and researches inquiries concerning benefits, enrollment, etc.
• Researches and documents/updates databases such as net to net changes, CCM documentation, etc.
• Provides information to internal and external customers.
• Regenerates copies of pertinent correspondence.
• Processes additional assignments, such as PCM changes, address changes, ID card replacements, RAOC status calls and data entry, etc.
• Demonstrates regular, reliable and predictable attendance.
• Other duties as assigned.

Education/Experience: High school diploma or equivalent. Computer skills and ability to learn new systems. While previous customer service, call center, healthcare or insurance experience (and in some markets �?? bilingual skills) are preferred �?? they are not required. We will consider candidates who meet the education requirements and who share our passion for supporting the health and well-being of our communities.

Pay range: $15 to $25.05 per hour

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. The employee may be eligible for bonuses and other forms of compensation.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.