We are looking for a Customer Service Representative to support members with pharmacy benefit questions and service needs for a Contract position based in Westminster, California. In this role, you will deliver responsive assistance by phone, help coordinate refill-related requests with network pharmacies, and ensure each interaction is documented accurately. This opportunity is well suited for someone who thrives in a call center setting, communicates clearly, and can balance service excellence with regulatory compliance. Responsibilities: • Respond to incoming member and prospective member inquiries related to pharmacy benefits, coverage, and general service support. • Assist with prescription refill coordination by working with network pharmacies when additional support is needed. • Escalate clinical questions or sensitive medication-related concerns to the appropriate clinical leadership team. • Partner with internal teams focused on medication adherence initiatives to support quality and member engagement goals. • Participate in outbound and inbound calling campaigns assigned by leadership to enhance the overall member experience. • Record member interactions thoroughly in designated systems, including actions taken, follow-up needs, and required forms. • Follow established workflows, job aids, and operating procedures while identifying opportunities to improve efficiency and service quality. • Maintain compliance with applicable federal, state, and organizational requirements governing health plan operations. • Engage constructively in coaching, training sessions, and team meetings to strengthen performance and service delivery. • Provide additional administrative or service-related support as assigned by management.

• At least 2 years of experience in customer service, preferably in a call center or member support environment. • Background handling inbound and outbound calls with a detail-focused and service-oriented approach. • Experience addressing customer questions, resolving issues, and entering accurate information into internal systems. • Ability to explain pharmacy-related benefits or similar healthcare information in a clear and understandable manner. • Strong documentation skills with close attention to detail and accuracy. • Comfortable working in an environment that emphasizes continuous feedback, coaching, and performance improvement. • Working knowledge of compliance expectations and confidentiality standards in a regulated setting. • Effective communication and collaboration skills, with the ability to escalate issues appropriately when needed.

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Westminster, CA
onsite
Temporary / Contract
20.9 - 24.2 USD / Hourly
We are looking for a Customer Service Representative to support members with pharmacy benefit questions and service needs for a Contract position based in Westminster, California. In this role, you will deliver responsive assistance by phone, help coordinate refill-related requests with network pharmacies, and ensure each interaction is documented accurately. This opportunity is well suited for someone who thrives in a call center setting, communicates clearly, and can balance service excellence with regulatory compliance. Responsibilities: • Respond to incoming member and prospective member inquiries related to pharmacy benefits, coverage, and general service support. • Assist with prescription refill coordination by working with network pharmacies when additional support is needed. • Escalate clinical questions or sensitive medication-related concerns to the appropriate clinical leadership team. • Partner with internal teams focused on medication adherence initiatives to support quality and member engagement goals. • Participate in outbound and inbound calling campaigns assigned by leadership to enhance the overall member experience. • Record member interactions thoroughly in designated systems, including actions taken, follow-up needs, and required forms. • Follow established workflows, job aids, and operating procedures while identifying opportunities to improve efficiency and service quality. • Maintain compliance with applicable federal, state, and organizational requirements governing health plan operations. • Engage constructively in coaching, training sessions, and team meetings to strengthen performance and service delivery. • Provide additional administrative or service-related support as assigned by management.
2026-10-16T00:00:00Z

Customer Service Representative Job in Westminster, CA | Robert Half