Customer Service Representative I

Western Growers is seeking a Customer Service Representative I to respond to member, provider, and employer inquiries about insurance benefits, provider contracts, reimbursement programs, eligibility, and claims. The role researches and resolves customer service issues, analyzes data, documents interactions, meets performance metrics, and maintains confidential and HIPAA-compliant handling of client information. ResponsibilitiesRespond to general customer questions via telephone, e-mail, and written correspondence regarding insurance benefits, provider contracts, reimbursement programs, eligibility, and claims in a confidential, professional, and ethical mannerAnalyze problems and provide information/solutionsResearch and resolve aged Customer Service open calls within company standardsOperate in the Health Care Processing System (HCPS), Imaging systems, and all systems necessary to obtain and extract information with proficiency and skillsDevelop and maintain positive customer relatio