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Non-IT Customer Service - Member Care Representative III

Remote / Online - Candidates ideally in
Ione, Amador County, California, 95640, USA
Listing for: Pyramid Consulting
Contract, Remote/Work from Home position
Listed on 2026-07-01
Job specializations:
  • Customer Service/HelpDesk
    Customer Service Rep, Bilingual, Call Center / Support
Job Description & How to Apply Below
Position: (Non-IT) Customer Service - Member Care Representative III

Call Center Representative

Immediate need for a Call Center Representative with experience in the financial/corporate/insurance industry. This is a two month contract opportunity with long-term potential located in work from home.

Please review the job description below:

Key Responsibilities:

  • Answers moderately complex to most complex inbound phone calls from policyholders, agents, third parties, and business partners who are inquiring about insurance products.
  • Reduces customer call backs by creating a simple, hassle-free interaction for the caller.
  • Responsible for using all available resources to make policy changes, answer policy, and billing questions, take payments, and provide requested documentation.
  • Completes and processes all necessary forms. Follows up for necessary documents in order to process requested changes.
  • Participates in technical and customer service skills training to stay aware of current and best practices.
  • Diagnoses customer issues at an experienced level. Provides solutions and uses a structured thought process to achieve results while balancing customers' needs with company guidelines. Will be required to take overflow of complex calls. Acts as the official "back-up" to the complex segment when volumes and coverage dictate.
  • Provides process and performance improvement recommendations; assists peers regarding service and policy issues.
  • Is fully cross trained on all available product lines for the business unit. May act as a subject matter expert to assist other associates. Subject matter expert activities may include, but are not limited to; peer assistance in training classrooms, on floor assistance for new hires, project input/feedback, adhoc requests from leadership, etc.
  • Some positions may require bilingual skills.
  • Some positions may require knowledge and use of two platforms.

Key Requirements and Technology

Experience:

  • Education:

    High school studies; some undergraduate studies preferred.
  • Experience:

    Meets minimum experience level for Member Care Representative II. In addition, typically eight months of moderate training and experience; successful demonstration of moderate experience and performance.
  • Knowledge:
    Knowledge of general business practices and terminology. Maintains a current understanding of insurance and customer service concepts. Mastery of foundational call skills including Nationwide billing and billing systems, Nationwide policies and systems, data management, end-to-end process understanding, product knowledge, and technical knowledge. Comprehensive understanding regarding moderate call functions. Is fully cross-trained on all insurance products for the business unit.
  • Skills/

    Competencies:

    Strong verbal and interpersonal skills to communicate technical insurance and billing information to policyholders, agents, third parties, and peers. Analytical skills to analyze billing information. Requires strong multi-tasking and computer navigational skills.
  • Values:
    Regularly and consistently demonstrates the Nationwide Values and Guiding Behaviors.

Our client is a leading financial/corporate/insurance organization and we are currently interviewing to fill this and other similar contract positions. Qualified candidates should apply today for immediate consideration.

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