Customer Service Representative
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Customer service representative supporting Capital Blue Cross members, providers, and brokers with health plan inquiries. Researching benefits, claims, billing, enrollment, and customer resolutions remotely.
Responsibilities:
- Provide efficient, courteous, and professional service to members, providers, group administrators, brokers, Plan personnel, and the general public
- Receive inquiries via telephone, fax, written correspondence, email, internet messenger, and personal interviews
- Research and analyze customer inquiries
- Review and interpret applicable policies and procedures to determine appropriate actions
- Obtain benefits, enrollment, and claim information using PC systems, manuals, and Image
- Resolve routine and moderately complex inquiries involving benefits, claims, billing, enrollment, legal requests, Medicare Secondary Payor, COBRA, reinstatements, conversions, refunds, and related matters
- Provide clear instructions to appropriate Plan areas for issue resolution
- Contact internal and external entities to obtain information and initiate necessary action
- Respond to customers verbally or in writing with accurate and timely information
- Monitor inquiries for timely and accurate resolution and customer satisfaction
- Update Facets or Inquiry Control System records and track inquiry status
- Report inquiry trends and processing issues to management
- Support Marketing personnel and brokers by researching and communicating customer information
- Participate in marketing activities such as health fairs, seminars, open enrollment, and on-site visits
Requirements:
- High school diploma or G.E.D.
- 1 year customer service experience
- Ability to understand and interpret detailed policies and procedures and apply them to various situations
- Thorough understanding of privacy of Protected Health Information as required by HIPAA
- Ability to work independently and adapt to changing job assignments and work environments
- Effective and professional verbal and written communication skills
- Analytical, organizational, and problem-solving skills
- Ability to use telephone equipment systems such as Interactive Voice Response and Automated Call Distribution
- Familiarity with a PC and Microsoft Office Suite
- Ability to perform sedentary work involving sitting, talking, hearing, keying, repetitive motions, and close visual inspection of documents and computer monitors
Benefits:
- Medical coverage
- Dental coverage
- Vision coverage
- Retirement Plan
- Paid Time Off
- Holidays
- Volunteer time off
- Incentive Plan
- Tuition Reimbursement
- Flexible work environment
- Training and continuing education
- Community volunteering opportunities
Similar Jobs
Client Service and Support Representative, Bilingual
Remote client service representative processing mutual fund transactions and supporting advisors and investors. Fidelity Investments Canada provides mutual fund and ETF management services.
Customer Service Representative
Customer Service Representative managing orders, quotations, customer support, and sales for Cornerstone Building Brands, a North American exterior building-products manufacturer.
Licensed Customer Service Representative
Remote licensed customer service representative serving Liberty Mutual policyholders and agents. Resolving Personal Lines policy issues and supporting customer satisfaction, growth, and retention.
Customer Support Complaints Executive
Complaints Handler investigating and resolving regulated customer complaints for Chip’s savings, investment and pension wealth app. Ensuring fair outcomes and FCA-compliant responses.
Customer Support Representative
Customer Support Representative serving Timeleft users through email, chat, and social media. Supporting the company’s mission to fight loneliness through shared experiences.
Klantenservice Medewerker – Aansprakelijkheidsverzekeringen
Klantenservice medewerker behandelt complexe aansprakelijkheidsdossiers voor Nederlandse verzekeraars. Onderzoekt feiten, polisvoorwaarden en regelgeving en neemt zelfstandig klantbeslissingen.
Player Support Agent, Spanish
Player Support Agent assisting Spanish-speaking gamers for TransPerfect Gaming. Resolving player issues, enforcing community rules, and tracking support trends across gaming projects.
Support Specialist 3 – Magnetic Resonance
Remote MR support specialist troubleshooting Siemens medical imaging equipment for customers and field engineers. Escalating technical issues, dispatching action plans, and supporting on-site repairs when required.
Support Specialist 3 – Magnetic Resonance
Remote MR support specialist troubleshooting Siemens Healthineers medical imaging equipment. Providing diagnostics, escalation management, customer support, and occasional international repair assistance.
Player Support Agent – English
Remote Player Support Agent supporting players across games, platforms, and communities. Handling tickets, investigating issues, and escalating complex cases for TransPerfect’s global gaming support operations.
Player Support Agent, English
Remote Player Support Agent assisting gamers across live game communities for TransPerfect. Handling tickets, investigating issues, documenting bugs, and escalating complex player-support cases.
Player Support Agent, English
Remote English Player Support Agent supporting TransPerfect’s gaming communities. Resolving player issues, documenting bugs, and escalating complex cases across global game projects.
Junior Support Specialist
Junior Support Specialist helping Paddle’s software-company customers resolve payment and subscription issues. Handling refunds, cancellations, escalations, and product support by email.
Customer Support / Success Professional
Customer support and success professionals reviewing domain-specific documents for Mercor’s AI training projects. Providing structured feedback on quality, accuracy, and relevance.
Atención al Cliente
Recepcionista remoto de llamadas Claro Postpago para GEA, empresa peruana de servicios asistenciales. Atención de clientes en Contact Center con bonos y capacitación pagada.
Atención al Cliente
Recepcionista remoto de llamadas para Claro Postpago en GEA, empresa peruana de servicios asistenciales. Atención al cliente desde casa con bonos, capacitación pagada y oportunidades de ascenso.
Customer Support Representative, Native French Speaker
Bilingual French-English support representative helping KeyNest hospitality customers via phone, email, and chat. Resolving access, booking, billing, and operational issues remotely.
Customer Care
Seasonal Customer Care Representative supporting a nationally recognized retail organization’s customers remotely. Handling orders, returns, refunds, shipping, warranties, and product inquiries across multiple channels.
Sales Customer Service Representative – Remote
Remote CSR generating reverse-mortgage sales opportunities for Longbridge, a senior home-equity solutions provider. Handling calls, qualifying homeowners, scheduling follow-ups, and updating CRM records.
Inbound Donor Support Representative
Inbound donor support representative assisting nonprofit organizations and donors through fundraising campaigns. Processing pledges, verifying details, and following approved scripts from home.