? Job Title : Customer Service Representative (CSR)? Training & Work ScheduleTraining Hours : 8 : 30 AM – 5 : 30 PM (includes a 1-hour lunch break)Post-Training Schedule : 8-hour shifts scheduled between 8 : 00 AM – 5 : 30 PM, with lunch breaks ranging from 30 minutes to 1 hourFinal schedules will be provided by the end of training or earlierSchedules may change based on business needs; any changes will be communicated at least one day in advanceEmployees scheduled to end at 5 : 30 PM must remain until the call queue is cleared, which may occasionally extend the shift slightly beyond 5 : 30 PM? Role OverviewAs a Customer Service Representative, you will serve as the first point of contact for CalOptima Health members and providers. You’ll handle inquiries and resolve concerns related to Medi-Cal programs in Orange County with professionalism and empathy.
- ? Key Responsibilities
- Respond to member and provider inquiries regarding eligibility, enrollment, benefits, and services
- Deliver exceptional customer service with a focus on consistency, dignity, and accountability
- Resolve all inquiries during the initial interaction whenever possible
- Maintain departmental productivity and quality standards
- Serve as a resource to team members and contribute to a mission-driven, high-performance culture
✅ Qualifications
- High school diploma or equivalent
- Minimum of 6 months experience in a call center environment, preferably within managed care