Customer Service Rep I - MA Servicing (Detroit) C-S-R

Company: Blue Cross Blue Shield of Michigan Industry: Health Insurance and Health Care Level: Non-Manager JobFamily: Multi-divisional Compensation: Competitive Total Compensation Package About Us When you think of Blue Cross Blue Shield of Michigan for health insurance, you can know you’re getting much more. We’re a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future. Plans for employers and individuals that meet today’s needs, budgets and lifestyle The largest network of doctors and hospitals in the state Lower health care costs Higher quality health care Grants and programs that promote better health throughout Michigan Mission: We commit to being our members’ trusted partner by providing affordable, innovative products that improve their care and health. Overview Position Summary: Analyzes, evaluates, resolves and primarily responds to low complexity level membership issues under various product lines. Responsibilities Primarily conducts low complexity internal and external research to determine and request the data needed to handle inquiries regarding membership. Analyze and service various product lines in the area (i.e., Facility, Professional). Provide responses by telephone, check-off letters, and/or automated letters. Follow department/corporate reporting requirements (i.e., PCRS, IC…) Organize work to meet National/Corporate/Department Production and Quality Standards. Reroute misdirected inquiries. Primarily evaluates membership issues/inquiries and price/adjudicates low complexity claims/inquiries. Interact with others inside and outside the organization to resolve the inquiry/claim related problems. Influence customers to accept the reasonableness of decisions and actions. Requirements Education: High school graduate or GED equivalent. Experience: 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. Knowledge: Demonstrated knowledge of policies, practices and procedures related to membership. Skills: 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. With more than 7,000 employees, we are the largest health insurance company in Michigan. We offer an exciting work environment with a diverse group of employees. Our goal is to make health insurance easier for our members. We want to transform the industry and become a resource that people can trust. All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability. #J-18808-Ljbffr Blue Cross Blue Shield of Michigan