Sr. Customer Service Representative

Join a growing healthcare support team where your communication skills and commitment to service help members understand their benefits and access the care they need.

Why Join Us?

Fully remote opportunity with company-provided equipment.

Paid training and a stable Monday-Friday schedule.

Opportunity to support healthcare programs that positively impact communities.

Collaborative and inclusive work environment.

Growth potential within a nationally recognized customer support operation.

Equal Opportunity Employer / Disabled / Protected Veterans

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For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Additional Skills

What You'll Do
As a Senior Customer Service Representative, you will serve as a trusted resource for members, providers, and stakeholders seeking information about healthcare programs and benefits.

Key Responsibilities

Manage inbound and outbound customer interactions, providing accurate information regarding healthcare benefits, eligibility, enrollment, and available services.

Research, investigate, and resolve customer inquiries and complex issues using multiple systems and resources.

Process enrollments, updates, and other transactions while meeting quality, accuracy, and productivity standards.

Maintain detailed and accurate documentation of customer interactions, case activity, and resolution outcomes.

Collaborate with internal teams and external partners to coordinate issue resolution and support customer needs.

Stay current on program policies, procedures, and compliance requirements to ensure accurate guidance and service delivery.

Deliver an exceptional customer experience through professionalism, empathy, problem-solving, and a customer-first approach.

Required Qualifications

High School Diploma or GED.

Minimum of 1 year of customer service or related professional experience.

Strong communication and active listening skills.

Ability to navigate multiple systems while speaking with customers.

Strong problem-solving and analytical abilities.

Comfortable working independently in a remote environment.

Ability to maintain professionalism and empathy during challenging conversations.

Bilingual Qualifications

Fluency in English and Spanish required for bilingual openings.

Ability to communicate clearly and professionally in both languages.

Desired Skills & Attributes
Successful candidates will demonstrate:

Customer-first mindset.

Strong attention to detail.

Accountability and reliability.

Adaptability in a changing environment.

Critical thinking and decision-making skills.

Ability to manage confidential information responsibly.

Teamwork and collaboration.

Commitment to quality and accuracy.

Work Location & Technical Requirements

Location: Remote / Work From Home. English/Spanish Bilingual Candidates may reside anywhere within the contiguous United States and must be available to work Eastern Time Zone schedules.

Internet: Reliable high-speed wired home internet service required (50 Mbps download / 20 Mbps upload minimum). Cellular-based internet providers are not supported.

Schedule

Training: Monday through Friday, 8:00 AM - 4:30 PM EST. Approximately 4 weeks of paid training followed by 2-3 weeks of nesting/support. Attendance during training is mandatory.

Regular Schedule: Monday-Friday. Hours of Operation are 8:00 AM - 7:00 PM EST. Expected schedule will likely be 10:30 AM - 7:00 PM EST (Subject to business needs).

Pay Rate

English Only: $16.67 per hour

English/Spanish Bilingual: $17.46 per hour (Bilingual candidates must successfully demonstrate fluency in both English and Spanish).