Customer Care Representative I

CareBridge; Waukesha (WI); Remote; USD 32,000 - 45,000; Full time

Job summary

A leading healthcare company seeks a Customer Care Representative I for a virtual role that offers flexibility and autonomy. The position involves responding to customer inquiries regarding insurance, analyzing problems, and maintaining positive relationships. Ideal for individuals passionate about providing exceptional customer service in a dynamic, fast-paced environment.

Benefits

Paid Time Off

401(k) match

Bonuses

Health and wellness programs

Qualifications

• Requires a high school diploma or equivalent.
• Previous experience in an automated customer service environment.
• Strong oral and written communication skills.

Responsibilities

• Responds to customer questions regarding insurance benefits and claims.
• Documents information and tracks inquiries in the database.
• Conducts follow-up calls to answer routine customer questions.

Skills

Communication

Problem-Solving

Analytical Skills

Education

High School Diploma or Equivalent

Job description

Join to apply for the Customer Care Representative I role at Carebridge EAP.

Location: Virtual; This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Hours: Monday - Friday, an 8-hour shift between 8:00 am - 8:00 pm EST.

The Customer Care Representative is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists, and managers on non-basic issues.

How will you make an impact

• Responds to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
• Analyzes problems and provides information/solutions.
• Operates a PC/image station to obtain and extract information; documents information, activities, and changes in the database.
• Thoroughly documents inquiry outcomes for accurate tracking and analysis.
• Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
• Researches and analyzes data to address operational challenges and customer service issues.
• Provides external and internal customers with requested information.
• Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature.
• Uses computerized systems for tracking, information gathering, and troubleshooting.
• Outbound calls are conducted in the ZipDrug business area.

Minimum Requirements

• Requires a HS diploma or equivalent and previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities And Qualifications

• Strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills are expected for URAC accredited areas.
• Experience in a high-volume call center environment is strongly preferred.
• Previous call center experience is preferred.
• The ideal candidate is tech-savvy and capable of multitasking in a fast-paced environment.

Please be advised that Elevance Health only accepts resumes for compensation from agencies with a signed agreement. Unsolicited resumes are deemed property of Elevance Health.

Who We Are

Elevance Health is dedicated to improving lives and communities, making healthcare simpler. As a Fortune 25 company, we seek leaders passionate about impacting our members and communities.

How We Work

We foster a culture of growth, driven by our values and behaviors. We offer competitive rewards, including merit increases, paid holidays, PTO, bonuses, benefits, 401(k) match, stock purchase, insurance, wellness programs, and financial education.

Our hybrid workforce strategy requires associates to work onsite at least once per week unless specified otherwise. Specific onsite expectations will be discussed during hiring.

We prioritize health and safety, requiring COVID-19 and Influenza vaccinations for certain roles, unless an exemption is provided. We comply with all relevant laws.

Elevance Health is an Equal Employment Opportunity employer. We consider all qualified applicants regardless of age, citizenship, race, gender, or other protected statuses. Accommodation requests can be made to [e-mail].

Applicants with arrest or conviction records will be considered in accordance with applicable laws.

Additional Details

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Customer Service
• Industries: Mental Health Care