Employer Service Representative

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $42.2k - $79.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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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

• Work with external customers to resolve claim and customer service issues initiated by clients or Client Management • Research and resolve issues • Recommend improvements to processes and procedures to eliminate recurrence or prevent future issues • Communicate with clients, Operations and Client Management • Track and monitor issues • Service assigned clients

🎯 Requirements

• High School diploma or GED equivalent • Minimum five or more years claim processing/health insurance industry experience • Ability to work in a fast-paced, customer service driven environment • Excellent verbal and written communication skills • Ability to research various topics, succinctly summarize findings and develop a recommendation • Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff • Solid understanding of ERISA and DOL regulations • Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs) • Flexible; open to continued process improvement • Self-directed individual who works well with minimal supervision • Good leadership, organizational and interpersonal skills • Demonstrated critical thinking skills • Ability to effectively deal with problems in varying situations and reach resolution • Ability to learn new/proprietary systems, adapt to various system platforms, and effectively use MS Excel/Word • Bachelor’s degree preferred • Good presentation skills preferred • Experience presenting and explaining benefits to a group or one-on-one preferred

🏖️ Benefits

• 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 subject to the terms and conditions of the plan • Remote work arrangement