Member Support Advocate for Health Plans & Digital Help

CareFirst BlueCross BlueShield; Baltimore (MD); On-site; USD 39,000 - 72,000; Full time

Benefits offered by this job

Comprehensive benefits package

401k plan

Job summary

CareFirst BlueCross BlueShield is seeking a customer service professional to handle member, provider, and broker inquiries in a call center setting. You will provide information on benefits, claims, eligibility, and billing with accuracy and care.

The role emphasizes education of members on health programs, with basic technical assistance for digital tools and applications, ensuring timely, compliant responses and documentation.

Qualifications

• High school diploma or GED required.
• At least 3 years of customer service experience.
• Experience in call center or with medical/insurance terminology preferred.

Responsibilities

• Provide first-level resolution for member, provider and broker inquiries via telephone and/or written correspondence.
• Explain products, benefits, and contractual language to fit customer needs and determine need for managed care initiatives.
• Document all client interactions according to established procedures.

Skills

Empathetic communicator

Customer service

PC navigation

Interpersonal skills

Oral and written communication

Multitasking under pressure

Education

High School Diploma or GED

Tools

Enrollment/tracking system

Job description

CareFirst BlueCross BlueShield is seeking a customer service professional to handle member, provider, and broker inquiries in a call center setting. You will provide information on benefits, claims, eligibility, and billing with accuracy and care.

The role emphasizes education of members on health programs, with basic technical assistance for digital tools and applications, ensuring timely, compliant responses and documentation.