SCA Cust Care Rep I

Wellpoint Federal Solutions, Inc.; Ellsworth (TX); Híbrido; USD 21 000 - 28 000; Tempo integral

Resumo da oferta

Wellpoint Federal is seeking a SCA Cust Care Rep I to support callers on benefits, contracts, eligibility and claims. You will document inquiries, extract data from our systems, and coordinate with internal teams to resolve issues in a timely manner.

Under supervision, you will learn our processes and contribute to accurate tracking, reporting, and customer satisfaction. Hybrid/virtual work with required in-person training sessions is available within eligible commuting areas.

Qualificações

• High School diploma or equivalent; experience in automated customer service preferred.
• Residency requirement: living in the United States for at least three of the past five years.
• Experience in federal programs or CMS contexts is a plus.

Responsabilidades

• Responds to caller questions via telephone and written correspondence regarding benefits, contracts, eligibility and claims.
• Analyzes issues and provides information and/or solutions.
• Obtains and extracts information from computer system.
• Documents information, activities and changes in the database.
• Thoroughly documents inquiry outcomes for accurate tracking and analysis.
• Develops and maintains relationships throughout organization and coordinates with various functions to ensure requests are handled appropriately and timely.

Conhecimentos

Call center

Computer skills

Medicare knowledge

Customer service

Formação académica

High School diploma or equivalent

Descrição da oferta de emprego

Position Title

SCA Cust Care Rep I

Location

This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

Employer

Wellpoint Federal, a subsidiary of Elevance Health, brings deep industry expertise and healthcare service capabilities to support federal programs. The organization delivers solutions across claims administration, data, and care delivery to help address complex challenges and improve health outcomes for federal populations.

How you will make an impact

• Responds to caller questions via telephone and written correspondence regarding benefits, contracts, eligibility and claims.
• Analyzes issues and provides information and/or solutions.
• Obtains and extracts information from computer system.
• Documents information, activities and changes in the database.
• Thoroughly documents inquiry outcomes for accurate tracking and analysis.
• Develops and maintains relationships throughout organization and coordinates with various functions to ensure requests and questions are handled appropriately and in a timely manner.
• Researches and analyzes data to address operational challenges and service issues.
• Provides external and internal customers with requested information.
• Under immediate supervision, receives and places follow‑up telephone calls / e‑mails to answer questions that are routine in nature.
• Uses computerized systems for tracking, information gathering, and troubleshooting.
• Understands and responds to the needs and expectations of internal and external customers.
• Meets department goals.

Minimum Requirements

• Requires a High School diploma or equivalent with experience in an automated customer service environment preferred; or any combination of education and experience which would provide an equivalent background.
• This position is part of our Wellpoint Federal division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years.

Preferred Skills, Capabilities, and Experiences

• Knowledge of services and contracts preferred (but not required).
• Medicare/Healthcare knowledge is preferred but not required.
• Call center experience is strongly preferred.
• Strong Computer Skills.

Salary

The salary* range for this specific position is $17.75.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Benefits

Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

Job Level & Details

Job Level: Non-Management Non-Exempt

Workshift: 1st Shift (United States of America)

Job Family: SCA > SCA Wage Determination

Equal Employment Opportunity

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, and local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 |Florida Agency for Health Care Administration.