Customer Care Representative I

Elevance Health•Village of New Hyde Park, CT

1d•$16 - $24•Remote

About The Position

Position Title: Customer Care Representative I Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. The Customer Care Representative is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. How you will make an impact: Responds to customer questions via telephone regarding insurance benefits, provider contracts, eligibility and claims. Analyzes problems and provides information/solutions. Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database. Thoroughly documents inquiry outcomes for accurate tracking and analysis. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner. Researches and analyzes data to address operational challenges and customer service issues. Provides external and internal customers with requested information. Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature. Uses computerized systems for tracking, information gathering and troubleshooting. Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims. Seeks, understands and responds to the needs and expectations of internal and external customers.

Requirements

Requires a HS diploma or equivalent
Previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.

Nice To Haves

High volume inbound call center experience preferred.
Automated Customer Service experience preferred.
Multi-tasking and data entry experience preferred.
Language skills in: Spanish, Russian, Bengali, Cantonese and / or Mandarin are preferred.
Previous Medicare / Medicaid experience preferred.
Long-term care experience preferred.

Responsibilities

Responds to customer questions via telephone regarding insurance benefits, provider contracts, eligibility and claims.
Analyzes problems and provides information/solutions.
Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database.
Thoroughly documents inquiry outcomes for accurate tracking and analysis.
Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
Researches and analyzes data to address operational challenges and customer service issues.
Provides external and internal customers with requested information.
Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature.
Uses computerized systems for tracking, information gathering and troubleshooting.
Seeks, understands and responds to the needs and expectations of internal and external customers.