Customer Service Rep I - MA Servicing (Detroit) C-S-R jobs in United States
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Blue Cross Blue Shield of Michigan · 2 days ago

Customer Service Rep I - MA Servicing (Detroit) C-S-R

Blue Cross Blue Shield of Michigan is looking for outgoing, energetic individuals to work in a fast-paced call center environment. The Customer Service Rep I will analyze, evaluate, and resolve low complexity membership issues and provide responses through various communication methods.

Health CareHealth Insurance
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Comp. & Benefits
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H1B Sponsor Likelynote

Responsibilities

Primarily conducts low complexity internal and external research to determine and request the data needed to handle inquiries regarding membership
Analyze and service various product lines in the area (i.e., Facility, Professional). Provide responses by telephone, check-off letters, and/or automated letters
Follow department/corporate reporting requirements (i.e., PCRS, ICS, Special Surveys and Manual counts)
Organize work to meet National/Corporate/Department Production and Quality Standards
Reroute misdirected inquiries
Primarily evaluates membership issues/inquiries and price/adjudicates low complexity claims/inquiries
Interact with others inside and outside the organization to resolve the inquiry/claim related problems
Influence customers to accept the reasonableness of decisions and actions

Qualification

Customer service experienceClaims processingData analysisMembership knowledgeOral communicationWritten communication

Required

High school graduate or GED equivalent
One (1) year of related work experience in areas such as public/customer service, sales representative, claims processing, membership enrollment; or one (1) year of public contact in positions such as teaching, social service work, bank teller, medical assistant/office assistant
One (1) year of total related experience or in the absence of internal BCBSM experience, the following may apply: One (1) year of related work experience in areas such as public/customer service, sales representative or claims processing
Demonstrated knowledge of policies, practices and procedures related to membership
Demonstrated ability to analyze data and resolve problems related to membership
Demonstrated command of all skills necessary for oral and written communications in a clear, concise and tactful manner

Company

Blue Cross Blue Shield of Michigan

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We commit to being our members’ trusted partner by providing affordable, innovative products that improve their care and health.

H1B Sponsorship

Blue Cross Blue Shield of Michigan has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (66)
2024 (49)
2023 (38)
2022 (58)
2021 (74)
2020 (60)

Funding

Current Stage
Late Stage

Leadership Team

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Daniel J. Loepp
President and CEO
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Nancy Wanchik
Vice president & Medicaid CEO
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Company data provided by crunchbase