[Hiring] Customer Service Representative @Medica

Role Description

Medica's Customer Service Representatives are the primary contact for members to resolve service inquiries for claims, enrollment, billing, pharmacy, as well as interpreting contracts and explaining benefits. They work telephonically and are responsible for:

• Exceptional levels of service satisfaction
• Providing quality service
• Service recovery process

This position is a 100% inbound customer service environment, with no cold calling or prospecting required. The service recovery process is critical, and our Customer Service Representatives will utilize this process to assist members in complex situations.

Our customer service department offers a fast-paced and rewarding environment where you will receive:

• 4-6 weeks of paid training
• Comprehensive benefits
• A supportive environment that fosters continual growth

Successful Customer Service Representatives build an amazing base of health plan and health claims knowledge that they leverage for career advancement opportunities throughout the Call Center and other areas of Medica's business.

This class has multiple openings and will start on Monday, August 31st, 2026. Training hours are Monday through Friday from 8:00am-4:30pm CST; after training, shifts do change. Our department is open:

• Monday-Friday 7:00am CST- 8:00pm CST
• Saturdays from 9:00am CST - 3:00pm CST

Qualifications

• Customer Service experience in a Healthcare related setting preferred
• Excellent verbal and written communication skills
• Able to deliver high quality service to Medica's members
• Ability to interact with the team and support each other in dealing with customer issues
• Advanced ability to multi-task and manage time efficiently
• An ability to identify process improvements, provide mentor and peer feedback, and develop knowledge of multiple products and platforms
• Demonstrated ability to learn quickly and respond well to a rapidly changing industry and operational environment

Requirements

• High School Diploma, GED or equivalent; equivalent work experience will be considered in lieu of educational requirement
• 2+ years of customer service experience
• Schedules after training vary based on business need and may include:
• 8:00am-5:00pm
• 9:00am-5:30pm
• 9:30am-6:00pm
• 10:00am-6:30pm CST (shift differential incentives are offered for this later shift)
• 10:30am-7:00pm CST (shift differential incentives are offered for this later shift)
• 11:30am-8:00pm CST (shift differential incentives are offered for this later shift)
• 12:00pm-8:30pm CST (shift differential incentives are offered for this later shift)
• 12:30pm-9:00pm CST (shift differential incentives are offered for this later shift)
• *Schedules may include Saturday shifts from 9:00 am - 3:00 pm based on business needs.*
• This position is a Remote role.
• To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI.

Benefits

• Competitive medical, dental, vision
• PTO
• Holidays
• Paid volunteer time off
• 401K contributions
• Caregiver services
• Many other benefits to support our employees