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Posted Apr 26, 2026

Customer Service Representative- Operations

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CVS Health is committed to building a world of health around every individual, providing a connected and compassionate health experience. The Customer Service Representative will handle incoming contacts, respond to complex calls, and ensure a high level of customer satisfaction while enhancing the company's brand recognition. Responsibilities - Operates as a representative of the company by answering and documenting all incoming contacts to determine their nature while responding to complex calls related to specialized services - Ensures that every member is shown respect and kindness and that all questions are thoroughly answered to ensure a high level of customer satisfaction and loyalty - Identifies and evaluates appropriate data to determine and implement the appropriate course of action to resolve the complaint and/or coordinate service recovery - Follows established procedures to meet customer/member needs and successfully enhance the company's brand recognition and competitive advantage in the industry - Handles the answering of questions regarding prescription insurance, medication coverage, and mail-order prescriptions so that our members better understand their coverage and options - Communicates effectively with diverse work units and relevant organizational departments to ensure that issues are properly and quickly resolved - Organizes training sessions to educate internal staff on premium customer service processes, policies, and best practices - Performs required training to understand how to use tools available to recall necessary information - Documents all customer correspondence and maintains confidential records of patient information Skills - This role will require an understanding of insurance concepts, including governmental plans, ancillary plan benefits, and other coverages - Minimum 6 months experience in a customer service or call center environment. (call center type environments preferred, if doctor's office then anything below managing 75 calls/day would not translate to similar environment) - Must have effective and empathetic communication style in managing inbound calls and communications with clients and team members - Computer experience is required with proficiency in Microsoft Outlook, Word and Excel - Basic alpha number data entry skills with attention to accuracy and quality is essential - Intermediate math skills are required with attention to detail and quality essential - Ability to work with people in a team environment while meeting individual performance goals - Must be able to read and interpret policies, procedures and instructions - Effective organizational skills and ability to prioritize a fluctuating workload and competing priorities is essential - 1+ years in a customer service or call center environment (call center type environments preferred, if doctor's office then anything below managing 75 calls/day would not translate to similar environment) Benefits - Medical, dental, and vision coverage - Paid time off - Retirement savings options - Wellness programs - Other resources Company Overview - CVS Health is a health solutions company that provides an integrated healthcare services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode Island, USA, with a workforce of 10001+ employees. Its website is https://www.cvshealth.com/.
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