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

Blue Cross Blue Shield of Michigan

Detroit (MI)

On-site

USD 35,000 - 50,000

Full time

12 days ago

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Job summary

A leading company in the health insurance sector is seeking a Customer Service Rep I to join its Detroit call center. The position requires outgoing individuals who can manage low complexity membership issues effectively and enhance customer experience. Candidates should have a high school diploma and a year of relevant experience in customer service or sales.

Qualifications

One year of related work experience in customer service, sales, or claims processing.
Knowledge of membership policies and procedures.
Ability to analyze data related to membership.

Responsibilities

Analyze and respond to membership inquiries and claims.
Conduct internal and external research for issue resolution.
Organize work to meet quality standards.

Skills

Communication

Problem Solving

Customer Service

Education

High school graduate or GED equivalent

Join to apply for the Customer Service Rep I - MA Servicing (Detroit) C-S-R role at Blue Cross Blue Shield of Michigan

Job Description

Customer Service Rep I

Full-time

Shift: 8:00 am to 5:00 pm

(Shift bidding process based on seniority)

Detroit, MI

Assessment required- Customer Service Rep

Blue Cross Blue Shield of Michigan is looking for outgoing, energetic, phone friendly individuals to work in a fast-pace call center environment. Customer Service Reps analyzes, evaluates, resolves and primarily responds to low complexity level membership issues under various product lines.

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.

Qualifications

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.

Seniority level

Seniority level
Not Applicable

Employment type

Employment type
Full-time

Job function

Job function
Other
Industries
Wellness and Fitness Services, Hospitals and Health Care, and Insurance

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