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Customer Service Representative

Tailored Management Services Inc USA (Remote) Full-Time

Job Title: Customer Service Representative
Pay Rate: ~18/hour, final rate TBD (blind rate program)
Training Schedule: 8:30-5pm EST (4-6 weeks)
Schedule Post-Training: Be prepared to work between the hours of 8am-6:30pm EST as those are the working hours of production
Start Date: 10/20/2025, cannot have time off within 6 weeks of start date
Estimated End Date: 2/27/2026 (potential for extension/conversion depending on performance attendance and business need)

*Candidates must have a reliable, high-speed internet connection.
*Candidates must have a quiet and private working environment.
*Candidates must have a hard-wired internet connection to connect into the equipment - WiFi connection will not suffice.


Top Preferred Industry Experience: Pharmacy and/or Insurance Call Center

Summary:
The position you applied for is our inbound insurance phone queue for advanced therapy drugs. These drugs are prescribed for pulmonary fibrosis and pulmonary hypertension. With this job you will make and/or take phone calls regarding insurance benefits, shipments, prior authorization and copays.

Job Duties:
  • Delivers straightforward administrative and/or other basic business services in Customer Service Dept.
  • Receives requests by mail, telephone, or in person regarding insurance claims/policies.
  • Responds to inquiries from policy holders, providers and/or others for information and assistance.
  • Performs research to respond to inquiries and interprets policy provisions to determine most effective response.
  • Mails or routes claim forms and supporting documentation to various units for final processing.
  • Position typically requires excellent interpersonal skills, ability to understand and interpret policy provisions.
  • Independently responds to inquiries, grievances, complaints or appeals ranging from routine to moderate complexity. Issues tend to be routine in nature.
  • Good knowledge and understanding of Customer Service and business/operating processes and procedures.
  • Works to clearly defined procedures under close supervision.

Skills/Requirements:
  • Pharmacy background is not necessary but preferred
  • Call Center experience is preferred
  • Previous work at home experience
  • Computer and desk phone savvy
  • Reliable
  • Great attendance
  • With this job you will make and take calls daily
Education:
  • High School Diploma

#TMCS

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Job Snapshot

Employee Type

Full-Time

Location

USA (Remote)

Job Type

Other

Experience

Not Specified

Date Posted

09/05/2025

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