Operations Specialist- (Hybrid: PA, DE, NJ)

Independence Blue Cross, LLC; Philadelphia (Philadelphia County); Hybrid; USD 45,000 - 65,000; Full time

Job summary

Independence Blue Cross, LLC in the Tri-State area is seeking an Operations Specialist to manage daily caseloads, ensure timely, compliant resolutions, and analyze case details. You will collaborate with cross-functional teams and use SQL Reports and Excel to diagnose issues.

The role requires a High School Diploma (Bachelor's preferred) and strong time management, communication, and problem-solving skills.

Qualifications

• Caseload management and timely case resolution

Responsibilities

• Manage and prioritize a daily caseload to ensure cases are resolved accurately, efficiently, and within required compliance timeframes
• Investigate and analyze case details, identify root causes, and determine effective resolutions
• Collaborate with crossfunctional teams to drive timely and accurate case outcomes
• Identify trends and recommend process improvements to enhance operational performance
• Provide regular status updates on open cases and assigned work
• Support team training and knowledge sharing
• Use SQL Reports and Excel Data extracts to diagnose and resolve issues
• Perform additional duties as assigned

Skills

Time management

Organizational skills

Strong communication

Problem solving

Cross-team collaboration

SQL reports

Excel proficiency

Technical aptitude

Education

High School Diploma

Bachelor's degree preferred

Tools

SQL Reports

Excel

Job description

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and wellbeing of the people and communities we serve.

At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

Operations Specialist

Operations Specialist is responsible for:

• Manage and prioritize a daily caseload to ensure cases are resolved accurately, efficiently, and within required compliance timeframes
• Investigate and analyze case details, identify root causes, and determine effective resolutions
• Collaborate with crossfunctional teams to drive timely and accurate case outcomes
• Identify trends and recommend process improvements to enhance operational performance
• Provide regular status updates on open cases and assigned work
• Support team training and knowledge sharing
• Use SQL Reports and Excel Data extracts to diagnose and resolve issues
• Perform additional duties as assigned

Qualifications

• High School Diploma required, Bachelor's degree in Business or related field preferred.
• Excellent time management and organizational skills required.
• Ability to prioritize workload and meet deadlines in a fastpaced environment with minimal supervision.
• Flexibility and adaptability are a must.
• Willingness to be cross trained is required to assist other team members.
• May support other team members with less complex cases.
• Strong communications skills required position interacts with various levels of management and may communicate with external clients as well.
• Must be strong problemsolver and be able to followup and take an issue to resolution.
• Strong understanding of accumulator benefits.
• Strong critical thinking skills; Capability to understand accumulator/data feeds and apply them.
• High level technical aptitude required ability to use Microsoft Office and to learn proprietary and vendor systems.
• High level of professionalism is necessary to progress.

Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the TriState Area of Delaware, New Jersey, or Pennsylvania.

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.