Medicare Member Retention Representative

4 weeks ago


Monroe, United States Blue Cross and Blue Shield of Louisiana Full time

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.

Residency in or relocation to Louisiana is preferred for all positions.

Grade 02

POSITION PURPOSE

The Medicare Member Retention Representative is responsible for identifying potential problems or issues through daily outbound retention calls to Medicare members. In addition to working daily call reports, the Retention Representative is also responsible for working return mail for all lines of business each morning from 8AM-9AM.

NATURE AND SCOPE

  • This role does not manage people
  • This role reports to these jobs: Director of Member Services and Member Services Supervisor
QUALIFICATIONS

Education
  • High school diploma or equivalent
Work Experience
  • Experience in corporate office setting preferred
Skills and Abilities
  • Customer service-driven with excellent phone etiquette
  • Proficient in Microsoft Office Suite (Excel, Word, Power Point, etc.)
  • Ability to type minimum of 40 WPM preferred
  • Highly organized and efficient with strong attention to detail
  • Ability to multitask and prioritize in a fast-paced, ever-evolving environment
  • Excellent verbal and written communication skills
  • Ability to make simple calculations
  • Ability to interact effectively with all levels of staff
Licenses and Certifications
  • None required.
ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS
  • Conduct a minimum of 50 daily outbound courtesy calls to ensure Medicare members understand their plan and assist with any questions or concerns they may have
  • Research and identify any current, recent, and/or potential issues to personalize each call
  • Answer basic inquiries and perform minor research in response to member questions
  • Escalate calls requiring additional assistance from Member Services as appropriate for appeals, coverage determinations, etc.
  • Identify any concerns of non-compliance from internal BCBSLA sales staff or BCBSLA Brokers that would require a compliance review and investigation based upon information given by a member while on a call
  • Identify and document grievances appropriately and accurately
  • Work return mail for all lines of business during the 8-9 hour daily to determine if mail should be delivered to a new address
  • Assist Enrollment Production when necessary
  • May fill in for Member Services Receptionist at times
  • Assist with event reservations in the Business Development queue as needed
Additional Accountabilities and Essential Functions
The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions
  • Perform other job-related duties as assigned, within your scope of responsibilities.
  • Job duties are performed in a normal and clean office environment with normal noise levels.
  • Work is predominately done while standing or sitting.
  • The ability to comprehend, document, calculate, visualize, and analyze are required.
  • Occasional travel required

#LI_CB

An Equal Opportunity Employer

All BCBSLA EMPLOYEES please apply through Workday Careers.

PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)

Additional Information

Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.

If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.

In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.

Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

  • Monroe, Louisiana, United States Blue Cross and Blue Shield of Louisiana Full time

    We are seeking a skilled Medicare Member Retention Specialist to join our team at Blue Cross and Blue Shield of Louisiana. As a key member of our Member Services department, you will play a critical role in ensuring the satisfaction and retention of our Medicare members.Key Responsibilities:Conduct daily outbound courtesy calls to Medicare members to ensure...


  • Monroe, United States Farmers Insurance - Spears Agency LLC Full time

    Put your skills to better use. Farmers Insurance - Spears Agency LLC in Monroe, Washington, is looking for an individual with experience in the Medicare or Benefits industry to join our team as a Full-Time Medicare Account Manager. You will be responsible for managing customer relationships. Your ability to build rapport will be necessary as you work closely...


  • Monroe, North Carolina, United States Latino Credit Union Full time

    Job SummaryThe Member Service Representative II provides quality, front-line service to members, including account opening, maintenance functions, and providing basic loan information. This role performs a wide range of duties, possesses ample product knowledge, and assists members with a variety of services.Key ResponsibilitiesMember Service & Sales:...


  • Monroe, United States YMCA of Snohomish County Full time

    DescriptionThe YMCA of Snohomish County provides jobs and careers with a cause. Every day, the Y makes a lasting impression in our communities through youth development, healthy living and social responsibility. Our unique work environment constantly changes to adapt to the needs of our communities. Come to work each day knowing that what you do has an...


  • Monroe, United States Latino Credit Union Full time

    Job Type Full-time Description The Member Service Representative II (MSR II) provides quality, front line service to members, including account opening, maintenance functions, and providing basic loan information. The MSR II performs a wide range of duties, possesses ample product knowledge, and assists members with a variety of services. Additionally, the...


  • Monroe, Michigan, United States PITT OHIO Full time

    PITT OHIO, a leading transportation and logistics service provider, is seeking a highly motivated Enterprise Solutions Representative to join our Sales Team. As a key member of our team, you will be responsible for identifying and delivering new customers, promoting and selling all PITT OHIO Enterprise services, and maintaining existing customer...


  • Monroe, United States N C Machinery Full time

    NC The CAT Rental Store is seeking an Outside Rental Sales Rep in Monroe,WA to join our team. The primary function of this role is to generate profitable rentals for The CAT Rental Store. The Rental Rep will aggressively pursue and close rental opportunities within the assigned territory. Specifically, this role is responsible for renting Caterpillar...


  • Monroe, Georgia, United States Domino's Pizza LLC Full time

    Domino's Pizza LLC Job DescriptionAt Domino's Pizza LLC, we're on a mission to deliver exceptional customer experiences and provide opportunities for growth and development. As a Customer Service Representative, you'll play a vital role in bringing our brand to life and making a lasting impression on our customers.Key Responsibilities:Provide exceptional...


  • Monroe, Louisiana, United States Sam's Club Full time

    Key Responsibilities:Provide exceptional customer service by assisting members with purchasing decisions and resolving issues.Locate merchandise and promote Sam's products and services to enhance the shopping experience.Assist members with transactions utilizing registers or self-checkout areas.About the Role:As a Frontline Member Service Representative...


  • Monroe, United States nc machinery Full time

    Harnish Group Inc. is the Caterpillar Dealer in central and western Washington, central and eastern Montana, northwestern Wyoming, northwestern North Dakota and the state of Alaska. Our Member Companies are N C Machinery, N C The Cat Rental Store, N C Power Systems, Tractor & Equipment Co., The Cat Rental Store, and SiTech, representing Caterpillar, and...


  • Monroe, United States Holiday Companies Full time

    Holiday Stationstores - 2700 N Dixie Hwy [Retail Associate / Team Member] As a Customer Service Representative at Holiday Stationstores, you'll: Provide prompt, courteous customer service; Ring up all sales on cash register properly and accurately, handling money, checks, and other types of payment received for products sold; Perform multi-function operation...


  • Monroe, United States Circle K Full time

    Circle K - 560 Lincoln Rd [Retail Associate / Team Member] As a Customer Service Representative at Circle K, you'll: Provide prompt, courteous customer service and resolve customer issues on shift; Ring up all sales on cash register properly; Perform multi-function operation of fuel console, lottery machine, etc.; Inspect store facilities and equipment for...


  • Monroe, United States Titan AG, LLC Full time

    Join Our Team at Titan AG: Sales RepresentativeAre you passionate about connecting with customers and closing deals? Do you thrive in a people-first environment where team investment and growth are priorities? If autonomy, flexibility, and competitive compensation appeal to you, and you’re excited by the entrepreneurial spirit of a small, dynamic...


  • Monroe, United States Rolling Hills Dairy Producers Cooperative Full time

    Dairy Field RepresentativeSummaryThe position of Dairy Field Representative is responsible for developing and maintaining our producer membership in South Eastern Wisconsin & Northern Illinois. In addition, this position may provide support to our operations staff by assisting with assigned office responsibilities. Individual should be a self-starter, highly...


  • Monroe, United States Arthur Lawrence Full time

    Arthur Lawrence is looking to hire a Front Office Representative for one of our clients in Monroe, WA. Please find the job description below and send us your updated resume, if interested: Must-Have: 3 - 5 years of experience as a Front Office Representative Experienced with Microsoft Office Suite, Customer service, and online booking system Worked...


  • Monroe, Georgia, United States Zaxby's Full time

    Customer Service Representative Job DescriptionZaxby's is a family-oriented restaurant that values its team members. As a Customer Service Representative, you will be the first point of contact for our guests and are directly responsible for delivering a great experience.Key Responsibilities:Taking and entering ordersHandling paymentsKeeping the dining room...


  • Monroe, United States The Bank of New Glarus Full time

    Job Title: Customer Service Representative Department: Deposits Reports to: AVP, Branch Manager Effective Date: 07/2023 Status: Non-Exempt, Full Time or Part Time Location: Monroe Location Job Summary: This position is responsible for performing various paying and receiving functions within the Bank and for servicing all deposit customers with attention...


  • Monroe, United States New York State Full time

    Minimum Qualifications Possession of a license and current registration as a Licensed Mental Health Counselor in New York State. NOTE: Candidate(s) must be eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid/Medicare eligibility will result in the termination of...


  • Monroe, North Carolina, United States Adriana Cabrera - State Farm Agent Full time

    Job DescriptionAs a Bilingual Office Representative with Adriana Cabrera State Farm, you will be responsible for delivering exceptional customer experiences that drive the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help people make you an ideal fit. You will enhance your career while resolving...


  • Monroe, North Carolina, United States GPM Investments Full time

    Customer Service RepresentativeWe're seeking a Customer Service Representative to join our team at GPM Investments. As a key member of our staff, you'll be responsible for providing exceptional customer service, maintaining a clean and welcoming store environment, and supporting the sales team in achieving our goals.Responsibilities:Customer Service: Greet...