Customer Service Representative I

Arkansas Blue Cross and Blue Shield; Arkansas; Hybrid; USD 32,000 - 40,000; Full time

Job summary

Arkansas Blue Cross and Blue Shield is seeking a Customer Service Representative (CSR) to resolve inquiries with timely, courteous service and thorough documentation. The role involves system research, escalation to experts, and striving for first-time resolution where possible.

The CSR will work remotely from home within Arkansas and select western states, handling member, provider, and group inquiries about health insurance plans, benefits, and eligibility, while adhering to HIPAA guidelines

Qualifications

• High school diploma or equivalent.
• Minimum two years' experience in a specialized customer service environment.
• OR two years' college coursework (48 credits) plus one year experience in a specialized customer service environment.

Responsibilities

• Communication: Resolves customer inquiries with timely and courteous service, documenting details in the contact notes.
• Customer Service: Interfaces with members, groups and providers to resolve issues related to health insurance plans.
• Problem Solving/Complaint Resolution: Maintains professionalism, empathy, and fact-based conclusions to reach resolution.
• Product Knowledge: Becomes an expert on benefits and eligibility for health insurance plans.

Skills

Active Listening

Customer Service

Written Communication

Verbal Communication

Multitasking

Problem Solving

Time Management

Education

High school diploma or equivalent

Two years' college coursework (48 credit hours) + 1 year experience

Job description

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here.

Job Summary

The Customer Service Representative (CSR) ensures final resolution of each customer inquiry in a timely and courteous manner while documenting detailed information relevant to the contact. Resolution may require system research and/or contacting experts in other areas of the company. Although some encounters may require multiple interactions, the CSR strives for the company goal of “first time resolution” whenever possible.

Requirements

• 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.

ESSENTIAL SKILLS & ABILITIES

• 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

LOCATION

Work from home within Arkansas, Washington, Oregon, Utah, Idaho, North Dakota, or Minnesota. Preference will be given to current employees and candidates who reside in Arkansas, Utah, Idaho, and North Dakota.

Skills

• Active Listening
• Computer Literacy
• Critical Thinking
• Customer Service
• Documentations
• Evaluating InformationOral Communications
• Organizing
• Problem Solving
• Researching
• Results Interpretation
• Time Management
• Written Communication

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.

Hiring Range

$22.88 - $28.85

Security Requirements

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

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.

Employment Type

Regular

ADA Requirements

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.

Arkansas Blue Cross is consistently ranked as one of the best places to work in Central Arkansas.

Why?

We Love our Employees At Arkansas Blue Cross, we care about the health, wellness, and education of our employees. We offer many great incentives such as: Tuition reimbursement. Club Blue, a free, onsite gym to encourage exercise. Green Leaf Grill and Green Leaf Grill Express, onsite restaurants in Little Rock that promote healthy eating. Incentives for wellness education and exercise

We Love our Culture

The average tenure is 10 years with hundreds of employees having been here 15 years or longer. Our inclusive culture brings employees together to connect while celebrating our differences.

We Love our Community

Our employees often volunteer within their communities, at charity events, walks and runs, schools and nonprofits. When disasters strike, our employees help wherever they are needed. It’s just another way we show that Blue cares.