Skip to Main Content

Kaiser Permanente Careers

Customer Service

Making Each Interaction Extraordinary

Functioning as a liaison between our members, employer groups, providers, brokers, and internal customers, our customer service groups are the face and voice of Kaiser Permanente. They play a vital role in explaining our offerings, policies, and procedures as well as meeting the needs of our members across the country.

Customer Service Specialist I

Location: Renton, WA Additional Locations:
Job Number: 800821 Date posted: 06/10/2019
Description:
Resolve complaints and inquires and provide education to members, prospective members, providers, other insurance carriers, agents, brokers, attorneys, employer groups and other member or provider representatives in writing, in person and over the telephone. Health plan related issues may include medical coverage, claims, referrals or eligibility. Delivery system issues may include appointment access, medical center service complaints, physician selection, fee quotes and patient billing issues. Governance issues may be voting member information or consumer governance policies.

Essential Responsibilities:
  • Responds to health plan, delivery system, and governance inquiries and complaints in writing and over the telephone.
  • Researches issues. Interact with other departments, physicians or administrators as needed. Resolve or escalate when appropriate.
  • Identify errors and determine what corrective steps need to be taken to resolve.
  • Interpret and apply all benefits according to appropriate contract.
  • Document all interactions in contract tracking system according to regulatory guidelines.
  • Basic Qualifications:
    Experience
  • Minimum one (1) years of customer service experience.
  • Education
  • High School Diploma/GED
  • License, Certification, Registration
  • N/A

  • Additional Requirements:
  • Analytical, communication and problem solving skills.
  • Computer skills.
  • Ability to exercise discretion.

  • Preferred Qualifications:
  • Two (2) years of call center experience in a health care or insurance environment. 
  • Associate's or bachelor's degree.
  • Primary Location: Washington,Renton,Renton Administration - Rainier 2715 Naches Ave. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Non-Union, Non-Exempt Job Level: Individual Contributor Job Category: Customer Services Department: Member Services Travel: No Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

    About Customer Service Careers

    Customer Service Careers

    With over 11 million members, more than 127,000 employees, and over 40 million doctor visits a year, our customer service teams need you to come work with a wide variety of people to address concerns, resolve grievances, and educate our communities about our offerings. At Kaiser Permanente, you'll put your communication and mediation skills to work in support of excellence. We are committed to supporting you with ongoing growth, training, and development opportunities.

    Glassdoor Logo

    See What People are Saying About Working at KP

    Sep 16, 2018

    "Great place to spend a work day"

    Glassdoor Ratings

    Current Employee - Contracts Manager in Oakland, CA

    • Recommends
    • Positive Outlook
    • Approves of CEO

    I have been working at Kaiser Permanente full-time (More than a year)

    Pros

    Friendly professional people who share insights and work together for improvements and success. Excellent pay and good employee recognition programs.Full Review

    More Kaiser Permanente Ratings & Reviews (3,975)

    Thanks
    to Our
    Employees

    Kaiser Permanente has been named one of the 2019 Best Places to Work. Check out what our employees like best about working at KP!

    glassdoor 2019 Best Places to Work - Employees' Choice

    Our Events

    Come introduce yourself to a member of the Kaiser Permanente team at an upcoming career or professional event. We look forward to meeting you in person.

    Recently Viewed Jobs

    You do not have any recently viewed jobs.

    Join Kaiser Permanente's Talent Network

    Please fill out the fields below and click "Join Now" to receive information about opportunities that relate to your selections.

    Interested InSearch for a category and select one from the list of suggestions. Search for a location and select one from the list of suggestions. Finally, click “Add” to create your job alert.

    • Customer Services, Renton, Washington, United StatesRemove

    Interested in internships or early career opportunities? Click here to join our University Talent Network. Are you a Veteran? Click here to join our Military Talent Network.