About the role

  • Customer Service Associate providing support through phone and written inquiries for Horizon Blue Cross Blue Shield of New Jersey. Delivering excellent customer service while adhering to quality standards.

Responsibilities

  • Provide excellent service to customers through the resolution of basic customer inquiries received by phone or through written correspondence.
  • Receive customer inquiries via phone, fax, mail, e-mail, etc.
  • If necessary, probe for additional helpful information (i.e. member ID, claim number, name, etc.) to effectively handle inquiry.
  • Review computer systems and/or other reference materials to complete verification process.
  • Initiate investigation process based on the nature of the inquiry (claim, member information, benefits, enrollment, appeals, etc.).
  • Utilize available resources to quickly and efficiently resolve or redirect inquiries in accordance with prescribed departmental process.
  • Accurately document customer inquiries and actions taken in accordance with departmental quality guidelines to ensure appropriate follow up.
  • Follow up on unresolved issues in a timely manner, escalating call trends to management.
  • Deliver an excellent customer service experience while meeting quality and production standards.
  • Perform other relevant tasks as assigned by management.

Requirements

  • High School Diploma/GED required
  • Some experience in a call center or customer service role within the health insurance industry preferred.
  • Knowledge of medical terminology and medical billing coding preferred
  • Excellent Customer Service skills
  • Ability to manage and diffuse irate calls
  • Ability to work in a high pressure, fast pace environment
  • Keyboarding proficiency
  • PC proficiency
  • Strong verbal and written communication
  • Interpersonal skills (i.e. active listening)
  • Investigative and analytical skills
  • Ability to multitask
  • Time management skills
  • Flexibility and adaptability
  • Ability to work effectively within a team environment

Benefits

  • Comprehensive health benefits (Medical/Dental/Vision)
  • Retirement Plans
  • Generous PTO
  • Incentive Plans
  • Wellness Programs
  • Paid Volunteer Time Off
  • Tuition Reimbursement

Job title

Call Center Associate

Job type

Experience level

JuniorMid level

Salary

$45,698 - $60,803 per year

Degree requirement

High School Diploma

Location requirements

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