Florida Blue - Member Care Specialist, Remote

Start date: 4/15/24

Training duration and hours: 4/15/24 – 7/05/24 Monday through Friday between 8:00am to 5pm EST.

Shift after training: After training you will be eligible for shift bid. An 8-hour shift with scheduled breaks will be assigned based on business needs between 8:00 am to 6:30 pm Monday through Friday, EST.

Hourly Pay Grade Range: $18 - $26
Hourly Hiring Rate: $19.04

Do you consider yourself to be a professional self-starter with a passion for helping people? Are you looking to join our mission of helping our communities achieve better health? Do you like conversing with others and helping them to find a resolution to their inquiry? Would you be interested in a growth opportunity with competitive pay and benefits?

YES?!?! What are you waiting for? Apply NOW!

What we offer you:

This is a full-time remote opportunity with full benefits and growth opportunities after a year in the role. We will provide you with all the tools necessary to be successful! Including, equipment, training, and constant support from your leaders.

Benefits that start on the first of the following month after your start date! The benefits include:

• Health, Dental and Vision Plans

• 401K

• 18 days of personal time off in the first year (not applicable during training)

• 11 Holidays and 2 wellness days per year

• Life Insurance, Disability Benefits, Pet Insurance, Work-Life Balance Programs and more

What will you be doing?

This is an important role where you will be taking incoming calls with inquiries for potential, new, and existing customers.

You will telephonically assist members in the following areas:

• Review member’s enrollment or claims history ensuring accuracy of billing and enrollment and application of deductible and member responsibility.

• Utilize the Florida Blue Conversation Strategy to provide outstanding customer service and call resolution to our members; follow-up on issues to ensure resolution for customer.

• Research and resolve service-related inquiries meeting established expectations for quality, productivity, and timeliness.

• Assisting members using probing questions and critical thinking to resolve their inquiry.

What you must have:

• 2 years of customer service experience or equivalent combination of education and experience

• 1 year of building collaborative relationships with customers, clients, and/or peers in different teams

• High school diploma or equivalent

What you will need:

• High Speed stable internet with a router that has 2 ports and is no further than 10 feet away from workstation.

• Ability to commit to a 12 week fully paid training program with limited absences.

• Ability to use multiple systems while you resolve/respond to customer inquiries and concerns via phone.

• Using sound problem solving and decision-making skills resolving simple to complex issues.

• Demonstrated empathy and compassion, with outstanding listening and communication skills.

• Ability to work assigned shift between 8:00AM-6:30PM EST; Occasional Nights, weekends, holidays may be necessary as business needs require.

Added Plus:

• Bilingual – Spanish or Creole.

• Previous experience working with a health insurance company.

What’s Next?

We have a 4-step selection process.

Step 1: Application and resume review - so make sure to submit your most up to date resume and fill out the screening questions carefully.

Step 2: Video Interview – look for an email from Staffing with the link.

Step 3: Face-to-face video interview where you will get to meet some of the leaders of the Service Organization. If selected,

Step 4: Background screening

General Physical Demands
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.

We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive, and equitable culture for our employees and communities.