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Customer Service Representative

Miramar, Florida 33027

Job ID: 11458 Category: Professional

Job Description

Outbound calls, approximately call volume 50-60 calls per day to directly respond to questions, handle issues and provide guidance to both internal and external customers. . These associates engage with members through every step of their road to wellness. As a member of our service organization you will respond directly to questions and provide guidance on transactions, inquires, or complaints from consumers.


  • Make welcome calls to new members
  • Receive, document and resolve customer inquiries by using established best practices
  • Build lasting relationships with Client customers
  • Educate customers about Client's Medicaid products and services over the telephone
  • Bilingual (English / Spanish) must be able to speak, read and write in both languages without limitations or assistance.
  • High School Diploma
  • Proficiency in Microsoft Word and Excel  
  • Aptitude for quickly learning and navigating new technology, systems and applications  
  • Proficient PC / typing skills
  • Capacity to maintain confidentiality
  • Previous call center or related customer service experience



  • Processes request for authorization according.
  • Fluent in English for both speaking and reading.
  • Excellent communication skills. Commitment to offering quality service to internal and external customers.
  • Ability to respond quickly and proactively to customer queries. Demonstrated teamwork through flexibility and reliability; superior customer service skills
  • Ability to adapt to varied situation and exercise sound judgment.
  • Minimum HS Diploma, post-secondary or equivalent call center experience, or equivalent required.
  • Call center experience may be required. Attention to detail.
  • Proven ability to quickly learn new systems and processes.      


Role Desirables


  • Associate’s or Bachelor’s Degree
  • Knowledge of Medicaid benefits


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