A caller pretends to be an employee of an IT company (typically Microsoft) and tells the victim that their computer is infected and needs to be restored. A software needs to be installed to do this.
The alleged support callers phone people randomly. They have no idea of the configuration of the computers of the people they are calling. The cyberattackers want to trick the victims into downloading a program that will allow them to access their computer. When they gain access to the system via this program, they can manipulate the computer of the victim. In most cases, the callers also try to sell the victims a software licence or service ("system cleaning") by asking their credit card information.