Customer Service Representative

Highmark Health; Northern (KY); Hybrid; USD 27,000 - 38,000; Full time

Job summary

Highmark Inc. is seeking a customer service professional to resolve standard and occasional non-standard inquiries, drawing on extensive on-the-job experience and a deep understanding of our products.

You will engage customers confidently, aiming to resolve in a single interaction via phone, email, or in person, with a focus on listening, analysis, and documentation to support timely resolutions.

Qualifications

• High School Diploma or GED required.
• 1–3 years experience in customer service or call center environment preferred.
• HIPAA awareness and adherence to privacy policies preferred.

Responsibilities

• Engages with customers in a confident and compelling manner, performing full range of customer service duties.
• Aims to resolve customer concerns in a single interaction via phone, written, or face-to-face.
• Responds to diverse customers with consistent confidence regardless of issue.
• Works independently without constant supervision, using knowledge resources.
• Uses product knowledge to provide tailored recommendations and resolve inquiries.
• Strives for adherence, efficiency, and timely inquiry handling.
• Resolves standard and some non-routine inquiries with limited escalation.
• Other duties as assigned.

Skills

Product knowledge

Listening skills

Multi-tasking

Probing questions

De-escalation

Education

High School Diploma/GED

Tools

Knowledge center

Job description

Company

Highmark Inc.

Job Summary

This job resolves standard and occasional non-standard customer inquiries, comments, and concerns by applying a seamless and positive customer experience gained through many recurring cycles of on the job work engagement.

ESSENTIAL RESPONSIBILITIES

• Engages with customers in a confident and compelling manner, performing the full range of customer service duties and responsibilities, as assigned.
• Strives to resolve customer concerns in a single interaction via telephone, written, or face to face communication.
• Responds to a diverse set of customers with an equal level of confidence regardless of the issue at hand.
• Works independently of support from a senior customer service representative, frequently utilizing the knowledge center, answering customer inquiries.
• Routinely responds to customers with an in-depth product knowledge achieved through a continuously improving set of listening, analysis, quality focus, problem solving, and documentation skills.
• Consistently exceeds results for internal adherence, efficiency, and inquiry timeliness.
• Resolves standard and frequently non-routine, limited impact, customer inquiries, comments, and concerns with the most limited escalation consistent with company policies and processes.
• Other duties as assigned or requested.

Education

• Required: High School Diploma/GED Substitutions None
• Preferred None

Experience

• Required: 1-3 years experience in customer service or call center environment
• Preferred None

Licenses or Certifications

• Required None
• Preferred None

Skills

• Applies in-depth product knowledge obtained through ongoing cycles of working with routine and non-routine subject matter
• Regardless of recurring and routine customer inquiries, comments, and concerns, approaches each and every interaction with superior listening skills
• Multi-tasks with a high level of efficiency yet treats every customer as the most important during the interaction so as not to leave the customer with a hurried impression
• Ability to ask effective probing and/or open and closed ended questions that will help in issue resolution in a conversational manner with customers, using verbal clues and system tools to develop tailored recommendations for the customer
• Ability to master initial training competencies while demonstrating the ability to learn additional competencies through additional training
• Ability to de-escalate challenging customer inquiries, comments, and concerns while delivering necessary information consistent with Company policies and processes

Language Requirement

Other than English? None

Travel Requirement

0% - 25%

Physical, Mental Demands and Working Conditions

Position Type Office-based Teaches/Trains others regularly Rarely Travels regularly from the office to various work sites or from site-to-site Does Not Apply Works primarily out-of-the office selling products/services (Sales employees) Does Not Apply Physical Work Site Required No Lifting up to 10 pounds Rarely Lifting 10 to 25 pound Rarely Lifting 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range

Minimum: $19.66 Max: $27.42 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Discrimination Statement

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

Accessibility

We endeavor to make this site accessible to any and all users.

About Highmark Health

Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.