Customer Service Representative I

Top Job

Located in Visalia, CA

Salary: 19.00-20.00

 

Customer Service Representative I – Full Time

Location: Visalia, CA Schedule: Monday–Friday, 8:00 AM–5:00 PM Employment Type: Full-Time, On-Site

 

A well-established healthcare organization in Visalia is seeking a Customer Service Representative I to support its Blue Cross operations team. This role is ideal for someone who thrives in a fast-paced, service-driven environment and enjoys helping members and providers navigate their healthcare benefits.

Position Overview

The Customer Service Representative I provides front-line support by answering inbound calls, placing outbound calls, responding to emails and eFaxes, and assisting walk-in inquiries. The role ensures compliance with health plan regulatory requirements and supports call center service-level objectives.

You will educate members and providers on eligibility, medical and pharmacy benefits, and how to access services — all while maintaining excellent service standards and high customer satisfaction.

Key Responsibilities

• Serve as the primary point of contact for member and provider inquiries.

• Answer high-volume inbound calls and place outbound calls as needed.

• Respond to alternative communication channels including email, voicemail, fax, and walk-ins.

• Document all interactions accurately and thoroughly in accordance with established guidelines.

• Support grievances, appeals, and claims issues, escalating when appropriate.

• Follow all policies, procedures, and compliance requirements.

• Maintain regular and predictable on-site attendance.

Required Skills & Abilities

• Strong customer service and active listening skills.

• Clear verbal and written communication abilities.

• Ability to understand and explain healthcare benefits.

• High attention to detail and accuracy.

• Dependability, integrity, and a cooperative attitude.

• Ability to adapt to changes and maintain professionalism in a fast-paced environment.

Education & Experience

• High school diploma or GED required.

• One year of customer service experience preferred.

Work Environment & Physical Requirements

• Indoor office environment, 100% on-site.

• Ability to walk, sit, stand, stoop, crouch, and climb stairs.

• Ability to lift up to 25 lbs.

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