Customer Service Rep I

The Customer Service Rep I handles calls from customers to resolve, educate, follow-up and respond to questions regarding California Choice plan administration and procedures for groups, members, brokers and general agencies. The role involves interacting with brokers, general agents, sales representatives, and providers to confirm eligibility, verify enrollments, and resolve issues. Representatives are responsible for expediting member enrollment, reviewing appeal requests, and auditing group billing while maintaining high service standards.