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Customer Service Representative

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 12%

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Logo of Arkansas Blue Cross and Blue Shield

Arkansas Blue Cross and Blue Shield

1001 - 5000 employees

Founded 1948

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Arkansas Blue Cross and Blue Shield is a health insurance provider licensed to offer health plans in all 75 counties of Arkansas. The company offers a wide range of insurance products including individual and family plans, Medicare and Medigap plans, dental and vision plans, as well as health plans for travelers and employer group plans. They provide members with personalized services such as health management through the Blueprint Portal, where users can manage their health plan, review claims, find healthcare providers, and estimate treatment costs. Arkansas Blue Cross and Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association.

📋 Description

• Ensure final resolution of each customer inquiry in a timely and courteous manner • Document detailed information relevant to each customer contact • Research systems and contact experts in other company areas when needed • Strive for first-time resolution whenever possible • Communicate clearly and concisely orally and in writing • Explain complex insurance topics and benefits to a wide audience without jargon • Listen, comprehend customer concerns, and ask appropriate questions to support issue resolution • Keep accurate and complete electronic notes in appropriate software systems • Interact with members, groups, and providers to resolve issues related to ABCBS health insurance products, services, and plans • Complete interactions according to company standards, directives, and applicable state and federal guidelines, including HIPAA • Handle confrontational situations with empathy, politeness, etiquette, and tact • Reach fact-based conclusions and resolve complaints • Gain conclusive agreement through negotiation • Develop expertise in benefits and eligibility across multiple health insurance lines of business • Locate information needed to provide superior customer service • Perform other duties as assigned

🎯 Requirements

• High school diploma or equivalent • Minimum two (2) years' experience in a specialized customer service environment OR two (2) years' college coursework (at least 48 credit hours) plus one (1) year experience in a specialized customer service environment • Customer resolutions • Multitasking • Active listening • Keyboarding • Ability to work independently • Independent thinking • Organized and detail-oriented • Written and verbal communications • Customer service • Problem solving • Ability to work in a high-stress environment • Computer literacy • Must pass company proficiency test: Customer Service Assessment • Must communicate using business English, correct grammar, and precise vocabulary • Must handle customer information according to HIPAA privacy guidelines and state and federal requirements • Must maintain security and confidentiality of records and information • Must adhere to segregation of duties guidelines in the Administrative Manual

🏖️ Benefits

• Remote work arrangement • Sedentary general office work with campus travel within walking distance of the primary work assignment

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