Customer Experience Associate

Magellan Health

. Support members and providers by facilitating care and service .

Posted 9/23/2026full-timeRemote • Hawaii • United StatesJuniorMid-Level💰 $34,295 - $51,445 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates proficiency in customer service within a call center environment, effectively managing healthcare inquiries and documentation while meeting performance metrics. Capable of navigating multiple systems and maintaining compliance with legal and regulatory standards.

Highest-signal resume keywords

Customer Service ExperienceCall Center MetricsHealthcare KnowledgeKeyboard ProficiencyCrisis Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Intake DocumentationClaims ResearchEligibility VerificationReferral FacilitationData Entry

Soft Skills

Attention to DetailFlexibilityTeam CollaborationProblem Solving

Tools & Technologies

Magellan SystemsComputer Applications

Certifications & Qualifications

GEDHigh School Education

Industry Keywords

Healthcare BenefitsEAP ServicesComplianceOperational Improvement

About the role

Key responsibilities & impact

Support members and providers by facilitating care and service
Assist Magellan members, providers, and clients regarding programs, policies, and procedures
Handle incoming and outgoing calls related to healthcare benefits
Administer intake documentation into appropriate systems
Resolve callers' needs on the first call while meeting quality standards
Research and communicate medical information about claims, eligibility, benefits, EAP services, claim status, and authorizations
Identify and respond to crisis calls with appropriate resources
Facilitate routine referrals and triage decisions not requiring clinical judgment
Assemble and enter patient information into the appropriate delivery system
Navigate Magellan systems and document customer comments and information
Meet key performance indicators, service standards, and monthly call center metrics
Support team members and participate in high-performance team activities
Participate in training, self-development, career progression, and operational updates
Identify operational problems or inefficiencies and support continuous improvement
Lead or participate in activities improving Care Center performance, quality, and culture
Read and retain information from multiple resources to address calls accurately

Requirements

What you’ll need

1–2 or more years of customer service experience
Must be able to talk and type simultaneously, with attention to detail
Must be flexible in scheduling and comfortable with change
Responsible for meeting monthly individual call center metrics
Must agree to recording and evaluations for training and compliance
Must be proficient with keyboard functions and navigation between multiple computer applications
GED or high school education required
Call center or healthcare experience preferred
Associate or bachelor's degree preferred
Must reside in Hawaii
Must comply with position-specific security responsibilities, applicable legal, regulatory, contractual requirements, and internal policies and procedures

Benefits

Comp & perks

Short-term incentives may be available
Comprehensive benefits package
Health, life, voluntary, and other benefits
Perks supporting physical, mental, emotional, and financial wellbeing
Equal Opportunity Employer
Tobacco-free workplace