Customer Service Representative II

🔥 15 hours ago

🌵 Arizona, Florida, +11 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🦬 Montana – Remote 🌲 North Carolina – Remote 🌲 Oregon – Remote ❄️ Minnesota – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote

💵 $38.5k - $57.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Premera Blue Cross

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1945

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Premera Blue Cross is an independent health insurance provider, serving businesses and residents of Washington State and Alaska as a licensee of the Blue Cross Blue Shield Association. The company offers a range of health plans including individual, family, employer-based, and Medicare Supplement plans. However, it has announced that it will exit the Medicare Advantage market as of January 1, 2025. Premera is committed to advancing health equity and community support, evident through its Social Impact Program focused on behavioral health and homelessness solutions in Washington and Alaska. Additionally, Premera complies with federal and state civil rights laws, offering language assistance services to ensure equitable care.

📋 Description

• Provide inbound and outbound phone-based customer service • Provide first-call and/or email resolution and de-escalate calls • Educate callers through clear and accurate information exchange • Follow up on, resolve, and document issues in a timely manner • Route inquiries requiring further investigation to appropriate departments • Conduct routine research as needed, including claims-status research • Follow up on pended items and route incoming paperwork to correct departments • Handle highly sensitive information while maintaining PPI requirements • Serve Premera members and providers, including doctors, facilities, and vendors, across multiple geographic locations • Meet performance goals, quality metrics, and attendance expectations • Use ALICE, Premera’s AI-powered virtual agent, to access procedures and guidance • Perform other duties as assigned

🎯 Requirements

• High School Diploma or GED. (Required) • Two years of customer service experience in related fields (Required) • Ability to defuse conflict and address customer concerns effectively with empathy and respect • Recent experience with Microsoft Office Suite or equivalent software platforms • Proficiency navigating multiple screens and systems simultaneously while providing live call support • Ability to accept constructive feedback, adapt work practices, and implement performance improvements • Ability to adapt communication style to broad audiences • Ability to work a variety of shifts based on quality metrics • Two years of college coursework or three years of work experience in customer service • Experience in healthcare, insurance, benefits, and/or claims processing industries • Experience with high-volume inbound/outbound call centers • Experience with recorded screen settings • Experience with high-volume metrics and audited work • Ability to keyboard and communicate clearly and understandably • Ability to handle Personal Protected Information (PPI) requirements and HIPAA-related practices

🏖️ Benefits

• Twelve weeks of paid virtual training • Work from home, full time (40-hour week) • One-time pre-tax allotment of $500 towards home office furniture after successful graduation of the 12-week training class • Employer matched 401k • Pension equity plan • Healthcare benefits starting day one • Generous PTO policy • 8 paid days off per year plus two floating holidays • Tuition assistance for undergraduate and graduate level classes • RISE employee recognition program with redeemable rewards • Medical, vision, and dental coverage with low employee premiums • Voluntary benefits, including pet insurance • Life and disability insurance • Pension plan vested after 3 years of service • Wellness incentives, counseling services, stress management programs, and mindfulness programs • Employee recognition program • Commuter perks • Free convenient on-site parking • Subsidized on-campus cafes • On-site health and wellness activities • Fitness and well-being center with workouts and nutritional counseling • On-site shuffleboard and ping pong