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[Remote] Customer Service Representative, Behavioral Health (Shift: Mon-Fri 11:45AM-8:15PM EST)

Remote, USA Full-time Posted 2026-07-05

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is dedicated to building a world of health around every individual, and they are seeking a Customer Service Representative in Behavioral Health. This role involves advocating for members, assisting with claims understanding and resolution, and educating members on health resources.

Responsibilities

  • Creates an empathetic reputed company with our members by understanding and engaging the member to the fullest to champion for our members' best health
  • Taking accountability to fully understand the member’s needs by building a trusting and caring relationship with the member
  • Anticipates customer needs by answering unasked questions
  • Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible
  • Performs financial data maintenance as necessary
  • Explains member's rights and responsibilities in accordance with contract

Skills

  • 1+ years of experience in a reputed company, call center environment
  • Experience using reputed company Office products' specifically reputed company, Outlook, and Word
  • High School Diploma or GED
  • Previous Behavioral Health, Medical, or Insurance background
  • Experience working from home in a remote role

Benefits

  • This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay reputed company listed above.
  • This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
  • The benefits for this position include medical, dental, and reputed company coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
  • Additional details about available benefits are provided during the application process and on Benefits Moments.

Company Overview

  • reputed company is a health solutions company that provides an integrated reputed company services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode reputed company, USA, with a workforce of 10001+ employees. Its website is https://www.cvshealth.com/.
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