Arkansas Blue Cross and Blue Shield · 8 hours ago
Customer Service Representative I
Arkansas Blue Cross and Blue Shield is a healthcare company seeking a Customer Service Representative. The CSR ensures timely resolution of customer inquiries while documenting the relevant information, striving for first-time resolution whenever possible.
Financial ServicesHealth CareNon Profit
Responsibilities
Communication: Communicates in a clear and concise manner (whether orally or in writing) using business English, correct grammar, and precise vocabulary; learns to make complex insurance topics accessible to a wide audience and explain benefits without resorting to jargon; develops the ability to listen, comprehend what is being said, and ask appropriate questions that help lead to issue resolution; and keeps accurate and complete electronic notes of conversations in the appropriate software systems
Customer Service: Interacts directly with customers, which may include members, groups, and providers to resolve issues related to the products and services and health insurance plans offered by ABCBS and its family of companies; and completes interactions based on company standards and directives as well as within state and federal guidelines such as the privacy rules enumerated in HIPAA guidelines
Other duties: As assigned
Problem-Solving/Complaint Resolution: Always conducts him/herself in a positive and professional manner, addressing others with politeness, etiquette, and tact; handles confrontational situations with empathy but also in such a manner as to reach fact-based objective conclusions and resolve; and gains conclusive agreement through negotiation
Product Knowledge and System Know-How: Becomes an expert on benefits and eligibility for health insurance plans supported by multiple lines of business, as requested; and knows where and how to find information pertinent to providing superior customer service
Qualification
Required
High school diploma or equivalent
Minimum two (2) years' experience in a specialized customer service environment. OR two (2) years' college coursework (at least 48 credit hours) plus one (1) year experience in a specialized customer service environment
Customer Resolutions
Multitasking
Active Listening
Keyboarding
Work Independently
Independent Thinking
Organized Detail Oriented
Written and Verbal Communications
Customer Service
Problem Solving
Working in a high stress environment
Computer Literacy
Must pass company proficiency test: Customer Service Assessment
Communication: Communicates in a clear and concise manner (whether orally or in writing) using business English, correct grammar, and precise vocabulary; learns to make complex insurance topics accessible to a wide audience and explain benefits without resorting to jargon; develops the ability to listen, comprehend what is being said, and ask appropriate questions that help lead to issue resolution; and keeps accurate and complete electronic notes of conversations in the appropriate software systems
Customer Service: Interacts directly with customers, which may include members, groups, and providers to resolve issues related to the products and services and health insurance plans offered by ABCBS and its family of companies; and completes interactions based on company standards and directives as well as within state and federal guidelines such as the privacy rules enumerated in HIPAA guidelines
Problem-Solving/Complaint Resolution: Always conducts him/herself in a positive and professional manner, addressing others with politeness, etiquette, and tact; handles confrontational situations with empathy but also in such a manner as to reach fact-based objective conclusions and resolve; and gains conclusive agreement through negotiation
Product Knowledge and System Know-How: Becomes an expert on benefits and eligibility for health insurance plans supported by multiple lines of business, as requested; and knows where and how to find information pertinent to providing superior customer service
This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual
Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual
1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment
Company
Arkansas Blue Cross and Blue Shield
Arkansas Blue Cross and Blue Shield provides reliable insurance plans to Arkansans while being a valuable community partner.
Funding
Current Stage
Late StageRecent News
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