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Call Center Representative

Call Center Representative

Aimic IncSan Diego, CA, United States
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Job Title : Call Center Representative

Pay Rate : $23.84 per hour

Number of Positions : 18 (all open)

Location : San Diego, CA

  • Training will be onsite for 6 weeks, followed by 1–2 weeks onsite or remote.
  • Possible remote work option available after training and successful assessments (dedicated workstation required).

Schedule :

  • Start Date : October 30, 2025
  • Orientation : October 30–31, 2025
  • Training : Monday–Friday, 8 : 30 AM – 5 : 00 PM (onsite)
  • Post-training work shifts : Monday–Friday, 8 : 00 AM–6 : 00 PM or 11 : 30 AM–8 : 00 PM, with possible weekends.
  • Must be flexible to support business needs.
  • 40 hours per week | 8 hours per day.
  • Position Purpose

    Responsible for high-quality communication with members, providers, employer groups, internal departments, and external agencies.

    Key Responsibilities

    Customer Care

  • Deliver accurate information on health plan benefits, policies, and procedures.
  • Use judgment to select appropriate resources to assist callers.
  • Maintain customer-focused service in line with organizational standards.
  • Problem Resolution

  • Research, investigate, and resolve member concerns and grievances.
  • Manage 60–80 inbound and outbound calls daily in a fast-paced environment.
  • Support service recovery efforts and ensure compliance with HIPAA and Medicare guidelines.
  • Required Skills & Experience

  • Minimum 6 months of recent call center experience (required).
  • At least 1 year of overall customer service experience.
  • Healthcare call center experience strongly preferred.
  • Proven ability to meet and exceed KPIs in a structured environment.
  • Strong interpersonal, investigatory, and problem-solving skills.
  • Excellent verbal / written communication and computer skills.
  • Experience with Epic and TalkDesk (preferred).
  • Ability to work long-term assignments (not short stints).
  • Education & Certifications

  • High School Diploma or equivalent (required).
  • Medical Office Certification, including Medical Technology (preferred).
  • Additional Notes

  • Strict KPI standards must be met to remain compliant with role expectations.
  • This is a fast-paced environment requiring flexibility, accuracy, and professionalism.
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    Call Center Representative • San Diego, CA, United States

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