Summary
Provide prompt, accurate, thorough and courteous responses to all telephone inquiries. Perform research as needed to resolve inquiries.
Description
Summary
Provide prompt, accurate, thorough, and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Perform research as needed to resolve inquiries.
Logistics:
This position is full time (40 hours/week) Monday-Friday in a typical office environment. This role is onsite at 160 North Dozier Boulevard Florence, SC 29501
What You’ll Do:
Ensure effective customer relations by responding accurately, timely and courteously to telephone inquiries. Accurately document inquiries.
Initiate minor /clerical adjustments based on provider request or processes adjustments or perform other research as needed to resolve inquiries. Coordinate with other departments to resolve problems. Respond to, research and/or assists with priority inquiries and special projects as required by management.
Provide feedback to management regarding customer problems, questions and needs. Maintains accurate records on complaints and/or other customer comments and make recommendations for changes to management. Follow through on complaints until resolved or report to management as needed.
Maintain basic knowledge of quality work instructions and company policies. Assist with process improvements through the recommendation of changes in procedures and techniques discovered during daily operations. Maintain all departmental productivity, quality, and timeliness standards.
Identify and promptly report and/or refer suspected fraudulent activities and system errors to the appropriate departments.
To Qualify for This Position, You’ll Need:
High School Diploma or equivalent
Speak English AND Spanish fluently
Excellent verbal communication skills
Strong human relations and organizational skills
Ability to handle high stress situations
Good judgment skills
Strong Customer Service skills
Ability to learn and operate multiple computer systems effectively and efficiently
What Blue Can Do For You:
Our comprehensive benefits package includes:
401(k) retirement savings plan with company match
Subsidized health plans and free vision coverage
Life insurance
Paid annual leave — the longer you work here, the more you earn
Nine paid holidays
On-site cafeterias and fitness centers in major locations
Wellness programs and a healthy lifestyle premium discount
Tuition assistance
Service recognition
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
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Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.