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Form of workFlorida Blue, a Guidewell Company is a family of companies that help people and communities achieve better health. Through innovation and collaboration, we are at the forefront of transforming health care. Join us in reimagining the world of health. We offer competitive salaries and benefits, work-life balance, flexible work arrangements, opportunities for growth and development, and a great place to work across our enterprise!
What Will Be Your Purpose
This onsite customer service representative is dedicated to supporting the Highlands County School Board at 426 School Street Sebring, FL. You will provide daily support on the customer's premises.
Important to Know
- Incumbent will need to live in the area where the position is house and traveling to the client site daily is a requirement of this position.
- Full time position Monday through Friday from 8:00am – 4:30pm
What You Will Be Doing
- The functions listed represent the major duties of this role, additional duties may be assigned.
- Provide ongoing customer support with claims and enrollment.
- Apprises marketing & sales team of ongoing service issues and potential problems that could affect the group’s renewal.
- Works in conjunction with the group’s Account Coordinator to see that all issues, procedures, policies, and mandates are resolved and communicated in a timely manner
- Maintains a positive professional relationship with the group and all their employees.
- Provides claims and benefits education and/or resolution to modifying the group’s SPD.
- Develop reports and tracking systems for both the account and sales team to analyze and assimilate to improve overall customer satisfaction.
- Can conduct Open Enrollment Meetings and produce educational materials such as Newsletters pertaining to group’s benefits.
- Must attend all mandatory training and/or meetings where attendance is required by management.
What You Must Have
- 3+ years related work experience in marketing or sales, preferably in the health care arena, and/or demonstrated, successful service experience with thorough knowledge of the health insurance industry & benefits designs required.
- High school diploma or GED
- Strong verbal and written communication skills along with strong organizational and interpersonal skills with the ability to build positive professional relationships with both internal & external partners
- Solid knowledge of necessary systems such as RBMS and Blue Cross and Blue Shield Florida procedures and policies.
- Self-sufficient with the ability to make decisions and facilitate presentations during open enrollment meetings.
What We Prefer
- Experience in the servicing and/or administrative functions of group health programs is helpful.
- Knowledge of BCBSF’s functional and regional areas involved in the delivery of managed care services and programs preferred.
- High level of comfort and poise in issue resolution with account administrators and account management.
- Demonstrated ability to organize and address complex business issues by utilizing strong problem-solving skills.
- Work independently in setting priorities and following through on problem resolution. Excellent presentation skills required.
- Bilingual is a plus. Incumbent will need to live in the area where the position is housed. Traveling to Jacksonville office is a requirement of this position.
General Physical Demands
- Exerting up to 10 pounds of force occasionally to move objects.
- Jobs are sedentary if traversing activities are required only occasionally.
