The #1 Site for Internships and Entry Level Jobs - search all Internships and Entry Level jobs.

Customer Service Representative

Job Description




JOB SUMMARY/OVERVIEW


Horizon BlueCross BlueShield is seeking individuals who are committed to gaining a thorough understanding of Horizon's product base and who will demonstrate proficiency and consistently meet or exceed performance expectations.


KEY RESPONSIBILITIES AND ACCOUNTABILITIES



• Use knowledge of products and the contractual provisions that govern administration to provide effective customer service and education
• Interpret contractual language to client for the purpose of providing benefit utilization and limitations
• Determine the need for managed care initiatives.
• Administer all types of service to a client through telephonic inquiries.
• Appropriate documentation of all client interactions according to established procedures.
• Demonstrate the ability to perform a service function at the highest level with a great degree of proficiency.
• Demonstrate best practices and learned skills in order to assist the team with improved quality, productivity and performance metrics.
• Learns information required to effectively administer service to clients as it relates to inquiries concerning pre-existing conditions, knowledge of policies and riders, identification of other insurance and coordination of benefits, benefit exclusions, administration of direct pay, credit card payment, debit accounting and other enrollment and billing transactions.


MAIN JOB REQUIREMENTS


Education and specific training

• High school diploma or equivalent
• 2-4 years of college in Business or other related education. Healthcare and/or Insurance Industry experience is strongly preferred. .

Work experience

• 2-5 years of prior customer service experience

Special certifications (if appropriate; identify if required to perform or just preferred)

• N/A

REQUIRED SKILLS


Technical Skills

• N/A


Soft and specific skills


• Use of automated systems.
• PC or CRT proficiency.
• Excellent oral and written communication skills.
• Time management and organizational management skills.
• Strong analytical abilities and problem-solving skills.
• Ability to work independently and as part of a team in a fast paced work environment through effective team skills.
• Quality improvement, productivity, business flexibility and customer retention.
• Must be able to effectively work in a fast paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time.
• Must be able to meet established deadlines and handle multiple customer service demands from customers, within set expectations for service excellence.
• Must be able to effectively communicate and provide positive customer service to every customer, including customers who may be demanding or otherwise challenging.

NOTE: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

Job Requirements

 

Job Snapshot

Location US-TX-Edinburg
Employment Type Full-Time Employee
Pay Type Year
Pay Rate N/A
Store Type Customer Service
Apply

Company Overview

Teleperformance - Niche

Teleperformance looks forward to hiring qualified applicants and we want all applicants to know the following: It has come to our attention that certain unscrupulous people are impersonating Teleperformance Recruiters. Teleperformance DOES NOT require an application fee, equipment fee, or any money, in order to apply for a job or become an employee of the company. Also, please note that any official eMail correspondence from Teleperformance Recruiters will ALWAYS come from a Teleperformance.com address. We DO NOT use personal eMail addresses to send official correspondence. Learn More

Contact Information

US-TX-Edinburg
Snapshot
Teleperformance - Niche
Company:
US-TX-Edinburg
Location:
Full-Time Employee
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
Customer Service
Store Type:

Job Description




JOB SUMMARY/OVERVIEW


Horizon BlueCross BlueShield is seeking individuals who are committed to gaining a thorough understanding of Horizon's product base and who will demonstrate proficiency and consistently meet or exceed performance expectations.


KEY RESPONSIBILITIES AND ACCOUNTABILITIES



• Use knowledge of products and the contractual provisions that govern administration to provide effective customer service and education
• Interpret contractual language to client for the purpose of providing benefit utilization and limitations
• Determine the need for managed care initiatives.
• Administer all types of service to a client through telephonic inquiries.
• Appropriate documentation of all client interactions according to established procedures.
• Demonstrate the ability to perform a service function at the highest level with a great degree of proficiency.
• Demonstrate best practices and learned skills in order to assist the team with improved quality, productivity and performance metrics.
• Learns information required to effectively administer service to clients as it relates to inquiries concerning pre-existing conditions, knowledge of policies and riders, identification of other insurance and coordination of benefits, benefit exclusions, administration of direct pay, credit card payment, debit accounting and other enrollment and billing transactions.


MAIN JOB REQUIREMENTS


Education and specific training

• High school diploma or equivalent
• 2-4 years of college in Business or other related education. Healthcare and/or Insurance Industry experience is strongly preferred. .

Work experience

• 2-5 years of prior customer service experience

Special certifications (if appropriate; identify if required to perform or just preferred)

• N/A

REQUIRED SKILLS


Technical Skills

• N/A


Soft and specific skills


• Use of automated systems.
• PC or CRT proficiency.
• Excellent oral and written communication skills.
• Time management and organizational management skills.
• Strong analytical abilities and problem-solving skills.
• Ability to work independently and as part of a team in a fast paced work environment through effective team skills.
• Quality improvement, productivity, business flexibility and customer retention.
• Must be able to effectively work in a fast paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time.
• Must be able to meet established deadlines and handle multiple customer service demands from customers, within set expectations for service excellence.
• Must be able to effectively communicate and provide positive customer service to every customer, including customers who may be demanding or otherwise challenging.

NOTE: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

Job Requirements

 
Mxk07x6kknd1z74sfnb
CareerRookie Advice

For your privacy and protection, when applying to a job online: Never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction.Learn More

By applying to a job using careerrookie.com you are agreeing to comply with and be subject to the workinretail.com Terms and Conditions for use of our website. To use our website, you must agree with theTerms & Conditionsand both meet and comply with their provisions.
Customer Service Representative Apply now