Customer Service Representative

🔥 14 hours ago

🌵 Arizona, Florida, +11 more states – Remote

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💵 $38.5k - $57.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of Premera Blue Cross

Premera Blue Cross

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 the appropriate department • Conduct routine research, including claims-status research • Follow up on pended items • Route incoming paperwork to the correct departments • Handle highly sensitive information while maintaining PPI requirements • Meet performance goals, metrics, reliable behavior, and attendance expectations • Serve Premera members and providers, including doctors, facilities, and vendors across multiple geographic locations • Use ALICE, Premera’s AI-powered virtual agent, to access procedures and guidance

🎯 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, if shift bid applies • 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 handling high-volume inbound/outbound calls in call centers • Experience with recorded screen settings • Experience working with high-volume metrics and audited work • Ability to keyboard and communicate clearly and understandably by telephone • Ability to handle Personal Protected Information (PPI) and follow HIPAA-related practices

🏖️ Benefits

• Twelve weeks of paid virtual training • One-time pre-tax $500 allotment toward home office furniture after successful completion of training • Employer-matched 401(k) • Pension equity plan • Healthcare benefits starting day one • Generous paid time off • 8 paid days off per year plus two floating holidays • Tuition assistance for undergraduate and graduate 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 • Wellness incentives and mental well-being resources, including counseling, stress management, and mindfulness programs • Employee recognition program • Commuter perks • Free on-site parking • Subsidized on-campus cafes • On-site health and wellness activities • Fitness and well-being center with in-person and virtual workouts and nutritional counseling

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