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Customer Service Representative
CVS Health. Take inbound calls from members and determine the quickest, most effective ways to answer member questions .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong customer service skills by effectively managing inbound and outbound communications, ensuring member satisfaction, and maintaining accurate member records. Proficient in utilizing technology for member management and support, with a focus on emotional engagement and problem resolution.
Highest-signal resume keywords
Call Center ExperienceCustomer Service SkillsActive Listening SkillsTime Management SkillsBilingual or Multilingual Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Basic Computer KnowledgeTechnical SkillsCustomer Records ManagementWord ProcessingDatabase ManagementEmail ProgramsChat ProgramsHealthcare ExperienceMental Health BackgroundRemote Work Experience
Soft Skills
Emotional EngagementTroubleshootingDe-EscalationComplaint HandlingCommunication Skills
Tools & Technologies
IP PhonesMember Management SystemEthernet Connection
Certifications & Qualifications
High School Diploma or EquivalentAssociate Degree
Industry Keywords
Member SatisfactionHealthcareHuman ServicesPlan SponsorsBenefit Tracking
About the role
Key responsibilities & impact- Take inbound calls from members and determine the quickest, most effective ways to answer member questions
- Create emotional connections with members by understanding and engaging them to champion their best health
- Maintain member records within the overall member management system
- Provide introductory information and connect members with additional and appropriate benefits/external resources
- Review members’ claim history to ensure accurate tracking of benefit maximums, including deductible and coinsurance levels
- Explain members’ rights and responsibilities in accordance with plan sponsors’ contracts
- Send outbound emails to members where and as needed
- Support members with troubleshooting and de-escalation
- Escalate queries and concerns when necessary
- Handle complaints and inquiries to ensure member satisfaction with products/services
- Share solutions and processes with the customer service team
- Embody CVS Core values in each interaction
Requirements
What you’ll need- 1-3 years of call center and/or customer service experience
- Basic computer knowledge and technical skills to use IP phones, customer records management, word processing, database, and e-mail/chat programs
- A private and confidential workspace free from distractions
- A hardwired connection is required (i.e., an Ethernet connection)
- Time management skills to promptly respond to e-mails, calls, and chat messages
- Active listening skills to effectively handle members who may be upset
- Must be able to work Monday-Friday, 9:30am-6:00pm EST
- A high school diploma or equivalent is required
- A mental health or human services background is preferred
- 1-3 years of healthcare experience is preferred
- Bilingual or multilingual skills are a plus
- Experience working from home in a remote role is preferred
- An Associate degree is a plus
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting colleagues’ physical, emotional, and financial well-being