Customer Care Associate, Geisinger Health Plan (Eastern Standard Time Zone resident)

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job Summary: Geisinger Health Plan is now hiring full-time Customer Care Associates for our August 2026 (8/10/2026) training class. If you are looking for an opportunity to begin a career in healthcare where you can grow not only in our health plan but also Geisinger health system, please apply. Job Duties: The Customer Care Associate is the main point of contact a customer makes with the health plan. Provides exceptional customer service to customers by answering questions and/or resolving concerns through appropriate education, information, and follow-up. Provides customers with knowledge of plans, products, systems, and processes to resolve customer issues/concerns. Serves as primary contact for customers. Maintains strong relationships with customers through telephone contact, written correspondence, electronic messaging and onsite visits. Investigates all concerns/issues to assure accurate information is provided in a timely manner. Provides resolution for all customer concerns and inquiries. Communicates and coordinates with the appropriate internal departments to resolve customer concerns. Documents and codes accurately all inquiries/concerns. Provides customers with the complaint/appeal and grievance process. Documents complaint/appeal and grievances and forwards to the appropriate team for processing. Completes outbound calls to customers to resolve complex benefit, eligibility, premium, pharmacy, claims or other related issues. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. #LI-REMOTE Position Details: Work Schedule / Hours Hours of Operation are Monday thru Friday 8am - 8pm. Saturday 8am - 2pm. Shifts can change based on business need and process will be discussed during the interview & hiring process. During peak business times, and new election periods, extended hours may be required. Work at Home requirements: To ensure a productive and secure remote work environment, the following conditions must be met: Quiet, Dedicated Workspace: A private, distraction-free area within your home to support focused work. Adequate Workstation Setup: Sufficient space to accommodate all employer supplied equipment, including monitors, keyboard, and other peripherals. High-Speed Internet Connection: Connection Type: Cable modem only (DSL, wireless cellular, and satellite services are not permitted). Minimum Speed Requirements: Download: 75 Mbps Upload: 25 Mbps Ping: Less than 150 ms Jitter: Less than 30 ms Connectivity: The computer must be connected via Ethernet cable. Wi-Fi is not permitted unless a Virtual Private Network (VPN) is used to secure the connection. Education: High School Diploma or Equivalent (GED)- (Required) Experience: Minimum of 1 year-Customer Service (Required) Certification(s) and License(s): Skills: Call Center Technologies (Inactive), Communication, Computer Literacy, Group Problem Solving, Organizing, Teamwork OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.