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CVS Health

Customer Service Representative

CVS Health

. Take inbound calls from members and determine the quickest, most effective ways to answer questions .

Posted 10/28/2026full-timeRemote • United StatesJunior💰 $17 - $31 per hourWebsite

Core Competencies

Role fit
Core 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 and tools to support member interactions and troubleshoot concerns.

Highest-signal resume keywords
Call Center ExperienceCustomer Service SkillsActive Listening SkillsTime Management SkillsBilingual Skills

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
Basic Computer KnowledgeTechnical SkillsDatabase ManagementWord ProcessingEmail/Chat Programs
Soft Skills
Emotional Connection BuildingTroubleshootingDe-Escalation SkillsComplaint HandlingEngagement Skills
Tools & Technologies
IP PhonesMember Management SystemRemote Work Tools
Certifications & Qualifications
High School DiplomaAssociate Degree
Industry Keywords
Healthcare ExperienceMental Health BackgroundMember Rights and ResponsibilitiesBenefit TrackingConfidential Workspace

About the role

Key responsibilities & impact
  • Take inbound calls from members and determine the quickest, most effective ways to answer 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 appropriate benefits and external resources
  • Review members’ claim history to ensure accurate tracking of benefit maximums, deductibles, and coinsurance levels
  • Explain members’ rights and responsibilities according to plan sponsors’ contracts
  • Send outbound emails to members as needed
  • Troubleshoot and de-escalate member concerns
  • Escalate queries and concerns when necessary
  • Handle complaints and inquiries to ensure member satisfaction
  • 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
  • Private and confidential workspace free from distractions
  • Hardwired Ethernet connection required
  • Time management skills to promptly respond to e-mails, calls, and chat messages
  • Active listening skills to effectively handle upset members
  • Ability to work Monday-Friday, 11:40am-8:10pm EST
  • High school diploma or equivalent required
  • Mental health or human services background preferred
  • 1-3 years of healthcare experience preferred
  • Bilingual or multilingual skills a plus
  • Experience working from home in a remote role preferred
  • Associate degree a plus

Benefits

Comp & perks
  • Comprehensive medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Other resources supporting physical, emotional, and financial well-being
  • CVS Health bonus, commission or short-term incentive program eligibility