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Customer Service Representative

🔥 2 minutes ago

🔔 Pennsylvania – Remote

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đź’µ $16 - $31 / year

⏰ Full Time

🟢 Junior

đź’ť Customer Support

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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đź‘» Ghost score 0%

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Logo of Capital Blue Cross

Capital Blue Cross

1001 - 5000 employees

Founded 1938

🏥 Healthcare

đź’Ľ Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Capital Blue Cross is a health insurance company that offers a range of health plans for individuals, families, and employers. They serve customers in Central Pennsylvania and the Lehigh Valley, focusing on providing health coverage services such as Medicare plans, student health plans, and resources for managing medical care. Capital Blue Cross positions itself as a partner in health, emphasizing support for members' overall wellness and preventive health measures.

đź“‹ Description

• Provide efficient, courteous, and professional service to members, providers, group administrators, brokers, Plan personnel, and the general public • Handle inquiries via telephone, fax, written correspondence, email, internet messenger, and personal interviews • Research and analyze customer inquiries involving enrollment, billing, benefits, and claims • Review and interpret applicable policies and procedures to determine appropriate actions • Resolve routine and moderately complex inquiries across all lines of business administered and supported by Capital BlueCross • Provide clear instructions to appropriate Plan areas for issue resolution • Contact internal and external entities to obtain information and initiate necessary action • Respond to customers verbally or in writing with accurate and timely information • Monitor inquiries for timely and accurate resolution and customer satisfaction • Enter and update information in the Facets system or Inquiry Control System • Report inquiry trends to management • Support Marketing personnel and brokers by researching and communicating customer information • Participate in marketing activities such as health fairs, seminars, open enrollment, and on-site visits

🎯 Requirements

• High school diploma or G.E.D. • 1 year customer service experience • Ability to understand and interpret detailed policies and procedures and apply them to various situations • Thorough understanding of responsibility to maintain privacy of Protected Health Information as required by HIPAA • Ability to work independently, be flexible, and react appropriately to changing job assignments and work environments • Effective and professional verbal and written communication skills • Analytical, organization, and problem-solving skills • Ability to use telephone equipment systems such as Interactive Voice Response and Automated Call Distribution • Familiarity with a PC and software such as Microsoft Office Suite • Ability to perform sedentary work involving significant periods of sitting, talking, hearing, keying, and repetitive motions

🏖️ Benefits

• Medical, Dental & Vision coverage • Retirement Plan • Paid Time Off • Holidays • Volunteer time off • Incentive Plan • Tuition Reimbursement • Flexible work environment • Training and continuing education • Opportunities to volunteer in the community

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