Member Care Specialist I - Remote

Elevance Health, Inc.; United States; Remote; USD 19.000 - 34.000; Teilzeit

Zusammenfassung

Elevance Health, Inc. is seeking a contract-based Customer Service Associate to answer questions about benefits, eligibility, and claims. The role involves analyzing problems, documenting outcomes, and maintaining positive relationships across functions while using PC systems to access and update data.

Remote, with expectations for occasional onsite work and overtime as needed. Ideal candidates will demonstrate strong communication, empathy, and multitasking skills in a fast-paced setting.

Qualifikationen

• HS diploma or equivalent.
• Experience in an automated customer service environment.
• Strong oral, written and interpersonal communication skills.
• Ability to multi-task in a fast-paced setting.
• Comfort with digital tools and platforms.

Aufgaben

• 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 / emails to answer routine questions.
• Uses computerized systems for tracking, information gathering and troubleshooting.
• Outbound calls are conducted in the ZipDrug business area.
• Associates in this role will have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while taking notes and speaking to customers.
• Associates in this role will work in a hybrid/remote setting with potential onsite requirements and occasional overtime based on business needs.

Kenntnisse

Customer service

Empathy

Verbal communication

Written communication

Active listening

Problem solving

Interpersonal skills

Multi-tasking

Adaptability

De-escalation

Ausbildung

HS diploma or equivalent

Jobbeschreibung

Elevance Health, Inc. is seeking a contract-based Customer Service Associate to answer questions about benefits, eligibility, and claims. The role involves analyzing problems, documenting outcomes, and maintaining positive relationships across functions while using PC systems to access and update data.

Remote, with expectations for occasional onsite work and overtime as needed. Ideal candidates will demonstrate strong communication, empathy, and multitasking skills in a fast-paced setting.