Customer Service Representative

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Arkansas Blue Cross and Blue Shield

WebsiteLinkedInAll Job Openings

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 customer contacts • Research systems and contact experts in other company areas when needed • Strive for first-time resolution whenever possible • Communicate clearly and concisely using business English • Explain complex insurance topics and benefits accessibly • Listen, comprehend customer concerns, and ask appropriate questions to support resolution • Maintain accurate electronic notes in appropriate software systems • Interact with members, groups, and providers to resolve issues related to ABCBS health insurance products and services • Complete interactions according to company standards, directives, and HIPAA-related privacy guidelines • Handle confrontational situations empathetically and reach fact-based conclusions • Resolve complaints through negotiation and gain conclusive agreement • Develop expertise in benefits and eligibility across multiple health insurance lines of business • Locate and use information needed to provide superior customer service • Perform other assigned duties

🎯 Requirements

• High school diploma or equivalent • Minimum two years' experience in a specialized customer service environment • OR two years' college coursework (at least 48 credit hours) plus one year experience in a specialized customer service environment • Customer resolutions • Multitasking • Active listening • Keyboarding • Ability to work independently • Independent thinking • Organization and attention to detail • Written and verbal communication • Customer service and problem solving • Ability to work in a high-stress environment • Computer literacy • Must pass company proficiency test: Customer Service Assessment • Ability to use business English, correct grammar, and precise vocabulary • Ability to comply with HIPAA privacy guidelines and state and federal requirements

🏖️ Benefits

• Tuition reimbursement • Club Blue, a free, onsite gym • Onsite restaurants promoting healthy eating • Incentives for wellness education and exercise • Inclusive culture and employee connection activities • Community volunteering and charity engagement opportunities