Call Center Representative, Tier 1 – Temporary Assignment

Community Health Network of Connecticut, Inc.

. Answer member and provider questions by telephone, written, or electronic media .

Posted 9/19/2026full-timeRemote • Connecticut • United StatesJunior💰 $20 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong customer service skills in a healthcare setting, with the ability to effectively communicate and resolve inquiries while adhering to HIPAA regulations and company policies.

Highest-signal resume keywords

Customer Service ExperienceCall Center ExperienceHIPAA ComplianceComputer ProficiencyAbility to Verify Caller Identity

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Documenting InquiriesVerifying Member EligibilityResolving Member ConcernsResearching GrievancesMaintaining Knowledge of Program Requirements

Soft Skills

Effective CommunicationProblem-SolvingAttention to DetailTime Management

Tools & Technologies

Language Line ServicesHigh-Speed Internet Connection

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Healthcare SettingPrivacy/Security RequirementsCHNCT PoliciesMember BenefitsProvider Participation

About the role

Key responsibilities & impact

Answer member and provider questions by telephone, written, or electronic media
Document inquiries, grievances, caller concerns, actions taken, and call disposition
Provide accurate and timely benefit and network information
Verify member eligibility and provider participation
Resolve routine member and provider concerns
Escalate complex cases and issues to senior representatives or management
Make assigned outbound calls and callbacks
Assess referrals to ICM, other programs, and community resources
Research and document inquiries and grievances promptly
Maintain knowledge of program requirements and benefits
Use resource materials to ensure accurate information
Meet or exceed an average speed of answer of 90% of calls within 60 seconds
Maintain an abandonment rate below 5% and hold times below 3 minutes
Adhere to department standards, privacy/security requirements, and CHNCT policies
Perform other required tasks

Requirements

What you’ll need

High school diploma or secondary education
High school diploma or GED
One year in a customer service role in a health care setting
Call center experience or face-to-face customer service experience
Adequate space and privacy for a work-at-home setup
HIPAA-compliant home workspace
Employee-supplied high-speed internet connection
Computer proficiency
Ability to adhere to privacy, security, attendance, productivity, and company policy standards
Ability to verify caller identity and authorization to share PHI
Ability to use language line services when needed

Benefits

Comp & perks

Telecommuting/work-at-home arrangement
Company-supplied computer workstation and telephone technology
Employee-supplied high-speed internet connection supported for the role
Inclusive and accessible interview process
Reasonable interview accommodations available upon request