Account Service Representative

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.

Traverse City, 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" rel="noopener noreferrer">Click here</a> to view open positions.

keywords: communication,reporting,prepare,performance,communication,support,research,sales,knowledge,skills,planning,education,compliance,experience


Competitive Compensation and Benefits Package

Overview: Receives, investigates, resolves, and responds to telephone, walk-in and written inquiries from assigned accounts. Identifies and reports account concerns, attitudes and competitive activity to Account Representative and Sales Management. Develops and maintains customer confidence as it impacts decisions on retention and benefit changes. Documents prospective group information via the referral process for new business.
Responsibilities: <ul> <li>Responds to routine telephone and written inquiries from account management, union representatives, agents, and consultants. Reports and provides feedback to Management on group inquiries to ensure timely communication on key activities.</li> <li>Resolves account problems at the local BCBSM office, via telephone, or email inquiries.</li> <li>Monitors the research and resolution of complex inquiries and issues with, and in support of the sales representative, which impact group retention and sales.</li> <li>Prepares proposal rate requests to prepare new/existing group enrollment paperwork and benefit change paperwork. Secondary involvement incorporates workgroups.</li> <li>Assists in and coordinates the open enrollment process. Actively participates in on-site open enrollment activities, account meetings.</li> <li>Effectively monitor and complete department/corporate reports to meet production and quality standards.</li> <li>Maintains and updates enrolled/prospective account records.</li> <li>Coordinates interdepartmental activities as required for new product/benefit implementation, customer service activities and contract administration to ensure all corporate phases of the new product/benefit are implemented accurately (i.e., rates, BPIDs, etc.).</li> <li>Process urgent membership inquiries.</li> <li>Assist in notifying management in the troubleshooting of operational problems and difficulties, which occur in the performance of their duties.</li> <li>Develops and maintains a positive working relationship with other departments to facilitate the resolution of operational workflow issues.</li> <li>Develops and maintains a positive working Sales Support relationship with the Sales Staff to identify and meet their business needs.</li> <li>Perform other related duties as assigned.</li> </ul>
Requirements: <ul> <li>High school graduate or GED equivalent is required.</li> <li>Four (4) years Customer Service experience with verbal and written communication skills for customer interface, including two (2) years of health-related or insurance-related experience&nbsp;<strong>or</strong><span style="font-family: arial, sans-serif;">&nbsp;Three (3) years BCBSM/BCN Customer Service experience plus one (1) year public contact outside the corporation.&nbsp;</span></li> <li>Must possess planning, organizational and human relations skills.</li> <li>Extensive knowledge of eligibility and underwriting rules, benefits, benefit delivery systems, billing, claims processing, resell process, rating, and product compatibility.</li> <li>Extensive knowledge of BCBSM and subsidiary certificates, riders.</li> <li>Product compatibility and policies applicable benefits, exclusions, special classes, claims processing, underwriting, eligibility rules and group/ subscriber processing and special contracts.</li> <li>Knowledge of PC's and Microsoft Office.</li> <li>Must possess a marketplace awareness with knowledge of the decision-making process relating to both union and management.</li> <li>Knowledge of functions/ responsibilities of corporate divisions and subsidiaries, Agent Sales policies and procedures.</li> <li>Extensive current knowledge of BCBSM and subsidiary systems is required for example (membership, billing, and customer rating systems).</li> <li>Other related skills and/or abilities may be required to perform this job.</li> </ul>