Member Services Representative at Capital Blue Cross

Harrisburg, Pennsylvania, United States -

Full Time

Start Date

Immediate

Expiry Date

01 Jun, 26

Salary

0.0

Posted On

03 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Telephone Communication, Electronic Communication, Face-to-Face Interaction, Customer Retention, First Call Resolution, Relationship Building, Adaptability, Active Listening, Empathy, De-escalation, Teamwork, Multi-tasking, Attention To Detail, Upselling, Computer Programs, Microsoft Outlook

Industry

Insurance

Description

Position Description The Member / Provider Services Representatives ( Responsibilities and Qualifications Duties and Responsibilities: Member-Focus: • Manage telephone, electronic, and face-to-face interactions professionally, efficiently and with excellent communication skills • Effectively present and discuss the products and services to external and internal customers with integrity and understanding and accuracy with every interaction • Focus on customer retention through first call resolution of concerns and enhancement of the member experience • Establish and maintain positive relationships with customers on behalf of the company by taking personal and complete responsibility for each customer interaction • Ensure all customers' needs are completely met, timely, without elevation if possible • If business needs permit, support the efforts of CBC sales representatives by conducting onsite and/or community-based educational meetings Performance standards, business metrics and process improvements: • Large emphasis on quality, productivity, adherence to schedules, handle time, and not negatively affective and jeopardizing CBC customer relations, internally and externally • Adaptability to use of soft skills and call strategies. • Complete ongoing training to stay abreast of products, services and policy changes • Improve quality of work on a daily basis by learning and employing new skills or adapting previous processes to mirror the fit-for-excellence company culture • Recognize, document, and alert supervisors of trends in customer calls • Conduct self in a manner consistent with the values of the organization Skills: Must possess basic reading and arithmetic skills (reading and math comprehension). Must possess above average verbal and written communication skills. Demonstrated competency in computer programs such as internet browsers, Microsoft Outlook, Word, Excel, PowerPoint, etc. Ability to present a positive and cooperative attitude via multi-channel connections with customers. Ability to deliver 'delightful' and effective customer service to enhance the member experience and build customer satisfaction and loyalty with customers. Ability to actively listen paired with the ability to demonstrate empathy for customers. Be service and solution oriented by actively looking for ways to help. Must possess a strong attention to detail and an interest in preventing errors. Ability to effectively de-escalate upset callers with minimal supervisory intervention. Demonstrate ability to collaborate with others and work as a member of a team. Ability to thrive in a dynamic working environment, multi-task, and adapt quickly. Ability to accept feedback, learn, and adapt from guidance to be successful. Have a strong work ethic, passion for our products and our customers' experiences. Foster an inclusive culture of diversity, working well with others. Must be able to meet quality, productivity, and behavior expectations. Have the capacity to up-sell and speak highly of our products and company. Knowledge: Knowledge of company and products in order to up-sell and speak highly of our products and company Experience: 1 year of customer service experience. Recent tele-commuting experience a plus Education and Certifications: Must have a High School Diploma or GED College degree or professional certification (Medical Assistant, Certified Professional Coder, Pharmacy Technician) a plus Bi-lingual (Spanish) a plus License to sell (a plus, may be required for advanced positions) Work Environment: Work Environment:!!• Call Center environment!!• Qualified candidate must be flexible to work any varied shift schedules that may span anywhere between 8:00 a.m. to 8:00 p.m., any day of the week!!• Positions may be based in more than one on-site location: !!TecPort, Harrisburg office location!!Lehigh Valley, Allentown office location!!• Full-time MSR/PSR candidates may be eligible to work at home pending corporate and department eligibility criteria, review, and approval of a work at home request!!• Minimum Internet Service Provider (ISP) speed requirements for work at home:!!Approximately 15Mbps download and 5Mbps upload per person working at the remote site (home). !!Latency (PING) under 150ms!!Satellite internet is typically not sufficient for real-time communication with tools that support voice or video Physical Demands: While performing the duties of the job, the employee is frequently required to sit, use hands and fingers, talk, hear, and see!!The employee must be able to work over 40 hours per week!!The employee must occasionally lift and/or move up to 5 pounds Other: Key Interfaces: Salesforce Facets Bridges Workflow Microsoft Office (Outlook, Word, Excel, PowerPoint) Availity NICE InContact Workbench Prime RxClaims TruCare

Responsibilities

Representatives must manage all customer interactions (telephone, electronic, face-to-face) professionally, focusing on first-call resolution to enhance the member experience and ensure needs are completely met. They are also responsible for adhering to performance standards related to quality, productivity, and schedule adherence while adapting communication strategies.