Customer Representative

Job Description

Job title : Complaints Coordinator

Job location : New York, NY 10004

Shift : Hybrid 9-5

Date Range:  03/30/2026 - 05/23/2026, Possible Extension

Pay : $19- $21/hr without benefits

Education:

High School Diploma/ GED

Skills:

1 year experience in Managed Care/call center  handling high-volume calls.

Hospital Experience required

Assist Complaints Team leader  with MACESS documentation inquiries/complaints .

Assist specialists with escalated issues  (transportation requests, specialty appointments).

Support management with special projects  (PCP monthly projects, MIS assignments, PCP error reports).

Record and respond to customer contacts  and update the tracking system  with follow-up and closure.

Provide member orientations  (on-site and telephone).

Process and resolve complaints  and update information in the system.

Assist with PCP selection/assignment  and member demographic updates .

Provide benefit/service information  to members, prospective members, and providers.

Perform retention efforts , handle Medicare overflow calls , and support outreach projects .

Handle roster, disenrollment, provider, and claim billing inquiries .

Schedule marketing appointments  for prospective enrollees.

Skills: Customer Focus, Functional/Technical Skills, Written/Oral Communication, Integrity and Trust .

Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.

Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.