Lead Center Specialist (Boone, NC)

Blue Cross and Blue Shield of North Carolina; Missouri; On-site; USD 55,000 - 89,000; Full time

Job summary

Blue Cross and Blue Shield of North Carolina is seeking an experienced sales and service professional to provide end-to-end support for complex insurance questions, including IU-65, Medicare, Small Group and Ancillary products, to meet sales and retention goals.

The role requires communicating complex concepts to members and providers, educating on policies, and building relationships. Onsite at Boone Neighborhood Center with opportunities for training and career development.

Qualifications

• 7+ years of experience in related field.
• Active Health & Accident and Medicare Supplement license required (must be obtained within two pre-licensure class attempts and the subsequent five state exam attempts or 90 day period following each class).
• High school diploma or GED.

Responsibilities

• Provide end-to-end service for complex insurance questions and issues.
• Sell IU-65, Medicare, Small Group and Ancillary products to meet sales/retention goals.
• Educate members and providers on Blue Cross NC policies and practices; resolve inquiries on first contact.

Skills

7+ years experience

Active license: Health & Accident and

Education

High school diploma or GED

Job description

What You’ll Do

Successfully utilizes added and specialized knowledge of product types, functional and/or technical skills to provide the highest level of solution focused, end to end service to our customers on highly complex insurance questions and issues. Utilize probing and creative problem solving as well as critical thinking skills and the ability to analyze more complex and ambiguous information to resolve all customer inquiries on first contact. Successfully able to understand and communicate complicated and multifaceted concepts to members, providers and colleagues in verbal and written form. Recognize patterns of inconsistent and/or inaccurate claims filing practices among customers and providers, educate customers and providers on acceptable Blue Cross NC practices and policies. Responsible for sales of IU-65, Medicare, Small Group and Ancillary products; analyzes the needs of individual customers, educates them on sales options and recommends products to meet those needs. Build and maintain effective relationships with Individual customers to meet sales and retention goals. Identify, understand and anticipate customers’ unexpressed needs and concerns in a caring manner. Ensures final disposition of each inquiry in a timely manner while systematically documenting detailed customer information relevant to each customer contact. Provides instructions as needed to internal business areas to ensure prompt resolution and response to customer inquiries. Educate and encourage customers on use of alternative delivery channels (i.e. self service, web). Support and be committed to the mission, vision and values of the company by delivering seamless, energetic and innovative service and sales solutions to increase stakeholder satisfaction, retain customers and impact sales goals. Identify and communicate process, product or systems improvement opportunities to improve the overall stakeholder experience. Represents Blue Cross NC at community events, in and around the retail center location. Events may be after hours or on weekends. Displays leadership by assisting with training needs of less experienced team members. Keep abreast of market trends, activities and products of competitors and the economy. Work collaboratively with Sales, Healthcare and Network Management partners to further optimize customer, employer group and provider relations by identifying opportunities to promote stakeholder programs. Promote programs, making sound decisions to apply the most appropriate “stakeholder centric” course of action to respond to needs. Assist with escalation concerns where appropriate Confer with liaisons and points of contacts in other areas to address escalation and/or member/potential member concerns to resolution. Ability to assign and confirm completion of appointments and necessary tasks in Center space as needed.

What You’ll Have

• High school diploma or GED
• 7+ years of experience in related field
• Team members must have or obtain an active Health & Accident and Medicare Supplement license. Note: Licenses must be obtained within two pre-licensure class attempts and the subsequent five state exam attempts or 90 day period following each class, whichever comes first.
• This role is onsite at our Boone Neighborhood Center

What You’ll Get

• Medical, dental, and vision coverage along with numerous health and wellness programs
• Parental leave and support plus adoption and surrogacy assistance
• Career development programs and tuition reimbursement for continued education
• 401k match including an annual company contribution

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $55,370.00 - $88,592.00

About Us

It’s an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we’re leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care — in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well‑being of North Carolinians. Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all. Help us lead the charge for better health care by joining our award‑winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.

Authorization to Work in the United States

We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview for English or Visión General de E-Verify for Español.

Request Accommodations

Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please notify HR at [e-mail].

Blue Cross NC is a Hybrid Flex company. Whether the role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any of our approved states: Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming