Customer Service Representative I - Grand Rapids

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.

Grand Rapids, MI

Blue Cross Blue Shield of Michigan

When you think of <a href="" target="_blank" rel="noopener noreferrer">Blue Cross Blue Shield of Michigan</a> for health insurance, you can know you&rsquo;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.&nbsp;<br /><br />We offer:<br />Plans for employers and individuals that meet today&rsquo;s needs, budgets and lifestyle<br />The largest network of doctors and hospitals in the state<br />Lower health care costs Higher quality health care<br />Award-winning diversity practices<br />Grants and programs that promote better health throughout Michigan<br /><strong><br />Mission:&nbsp;</strong>We commit to being our members&rsquo; trusted partner by providing affordable, innovative products that improve their care and health.<br /><br /><a href="" target="_blank" rel="noopener noreferrer"><strong>Click here</strong></a> to learn more about our commitment to our Social Mission, view company updates and reviews, and view our awards &amp; accolades.<br /><br />For Application Timeline &amp; Selection Process:&nbsp;<a href="" target="_blank" rel="noopener noreferrer">Click Here</a>. Learn more about your options as an external candidate. <a href="" target="_blank" title="BCBSM" rel="noopener noreferrer">Click here</a> to view open positions.

keywords: position summary,organization,analysis,consulting,research,reporting,skills,education,experience,analysis,knowledge


Competitive Total Compensation Package

Overview: <p>Analyzes, evaluates, resolves, and primarily responds to low complexity level membership issues under various product lines.&nbsp;</p>
Responsibilities: <ul> <li>Primarily conducts low complexity internal and external research to determine and request the data needed to handle inquiries regarding membership.&nbsp;</li> <li>Analyze and service various product lines in the area (i.e., Facility, Professional).&nbsp; Provide responses by telephone, check-off letters, and/or automated letters.</li> <li>Follow department/corporate reporting requirements (i.e., PCRS, ICS, Special Surveys, and Manual counts).&nbsp;</li> <li>Organize work to meet National/Corporate/Department Production and Quality Standards.&nbsp;</li> <li>Reroute misdirected inquiries.&nbsp;</li> <li>Primarily evaluates membership issues/inquiries and price/adjudicates low complexity claims/inquiries.&nbsp;</li> <li>Interact with others inside and outside the organization to resolve inquiry/claim-related problems.&nbsp;</li> <li>Influence customers to accept the reasonableness of decisions and actions.&nbsp;</li> <li>Other duties may be assigned.</li> </ul>
Requirements: <ul> <li>High school graduate or GED equivalent.</li> <li>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.</li> <li>One (1) year of total related experience or in the absence of internal BCBSM experience, the following may apply:&nbsp; One (1) year of related work experience in areas such as public/customer service, sales representative or claims processing.</li> <li>Demonstrated knowledge of policies, practices and procedures related to membership.</li> <li>Demonstrated ability to analyze data and resolve problems related to membership.</li> <li>Demonstrated command of all skills necessary for oral and written communications in a clear, concise and tactful manner.&nbsp;</li> </ul> <div id="gtx-trans" style="position: absolute; left: -18px; top: 26px;">&nbsp;</div>