Customer Service Rep I - Provider Servicing (Marquette) C-S-R

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.

Marquette, 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,research,analysis,quality assurance,management,education,experience,skills


Competitive Total Compensation Package

Overview: <p><strong>Customer Service Rep I</strong><br /><strong>Full-time</strong><br /><strong>Shift: 8:30 am to 5:00 pm</strong><br /><strong>Marquette, MI</strong><br /><strong>Assessment required- &nbsp;Customer Service Rep</strong></p> <p><strong>Analyzes, evaluates, resolves and primarily responds to low complexity level membership issues under various product lines.</strong>&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 the 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><em><br /><br /><br /><br />All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, protected veteran status or status as an individual with a disability.</em></div>