Customer Service Rep I

4 days ago

Grand Rapids, United States Michigan Staffing Full time

Customer Service Rep I Full-time Department hours: 8:00 am to 8:00 pm (Shift bidding process based on seniority) Lansing, MI Assessment required Blue Cross Blue Shield of Michigan is looking for outgoing, energetic, phone friendly individuals to work in a fast-pace call center environment. Customer Service Reps analyze, evaluate, resolve and primarily respond to low complexity level membership issues under various product lines. Responsibilities include: Conducting low complexity internal and external research to determine and request the data needed to handle inquiries regarding membership. Analyzing and servicing various product lines in the area (i.e., Facility, Professional). Provide responses by telephone, check-off letters, and/or automated letters. Following department/corporate reporting requirements (i.e., PCRS, ICS, Special Surveys and Manual counts). Organizing work to meet National/Corporate/Department Production and Quality Standards. Rerouting misdirected inquiries. Evaluating membership issues/inquiries and price/adjudicating low complexity claims/inquiries. Interacting with others inside and outside the organization to resolve the inquiry/claim related problems. Influencing customers to accept the reasonableness of decisions and actions. Qualifications: High school graduate or GED equivalent. One (1) year of related work experience in areas such as public/customer service, sales representative, claims processing, membership enrollment; or one (1) year of public contact in positions such as teaching, social service work, bank teller, medical assistant/office assistant. One (1) year of total related experience or in the absence of internal BCBSM experience, the following may apply: One (1) year of related work experience in areas such as public/customer service, sales representative or claims processing. Demonstrated knowledge of policies, practices and procedures related to membership. Demonstrated ability to analyze data and resolve problems related to membership. Demonstrated command of all skills necessary for oral and written communications in a clear, concise and tactful manner.

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