Customer Service Representative II

Job not on LinkedIn

🕒 July 19

🇺🇸 United States – Remote

💵 $18 - $33 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

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Health Care Service Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.

📋 Description

• Provide telephonic services to clients’ employees and their immediate families • Help callers understand, navigate, and obtain the best value from healthcare, wellness, and employee incentive programs • Assist callers in navigating healthcare services, providers, insurers, and community resources • Reduce caller stress while saving time and cost • Solve complex or difficult benefit and claim issues on designated client cases • Escalate issues to Claims, Eligibility Supervisors, and Client Managers when necessary • Research, organize, problem-solve, track, and report on client advocacy cases • Interact with clients, providers, insurers, and community resources across one or multiple case interactions

🎯 Requirements

• High School diploma or GED equivalent • Minimum three years of insurance and/or benefits customer service experience • Experience managing client advocacy cases involving research, problem solving, organizing, tracking, and reporting • Ability to organize and prioritize work demands in a dynamic, fast-paced environment • Ability to maintain a positive attitude and follow directions • Excellent customer service skills, including proper grammar, tonalities, and clear dictation • Proficient in Microsoft Office Suite, data entry, and electronic mail applications • Excellent written and verbal communication skills • Ability to adapt communication style to diverse personal, professional, cultural, and socio-economic backgrounds • Ability to work a flexible 37.5-hour work week in a 24/7/365 call center environment, including some third shifts, evenings, weekends, and holidays • Ability to sit and use the phone for long periods of time • Preferred: Health Care Reform knowledge/experience and/or Medicare/Medicaid benefit knowledge • Preferred: Associate’s Degree • Preferred: Bilingual Spanish/English • Preferred: EBS, PHR, SPHR, or CBP certification

🏖️ Benefits

• Thoughtful development opportunities • Health and wellness benefits • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement • Other incentives • Annual incentive bonus plan