Customer Care Representative II

Elevance Health•Las Vegas, NV

6d•$19 - $28•Onsite

About The Position

The Customer Care Representative II is responsible for responding to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims. Proficient in all basic customer service areas performs some but not all types of moderately complex function. How you will make an impact: 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. Proficient in all basic customer service functions. Receives and places follow-up telephone calls / e-mails to answer customer questions. Outbound calls are conducted in the ZipDrug business area. Inquiries may also be on a walk-in basis. May require deviation from standard practices and procedures with the assistance of a computerized system. Seeks, understands and responds to the needs and expectations of internal and external customers. Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimines, and electronic queues, while simultaneously taking notes and speaking to customers. Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment. Strong verbal and written communication skills, both with virtual and in-person interactions. Attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely. Comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts. Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary. Performs other duties as assigned.

Requirements

HS diploma or equivalent.
Minimum of 1 year of the company's experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.
Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Nice To Haves

Ability to work from home with hard-wired internet access and a quiet and private workspace strongly preferred.
A passion for serving others with the ability to be empathetic and the desire to go above and beyond to help resolve members questions at the first point of contact preferred.
A customer advocate willing to listen and find creative solutions to address and resolve customers questions, issues or concerns preferred.
A composed individual able to multi-task, navigating multiple computer applications and working efficiently while communicating and serving the customer preferred.
Have a strong work ethic and sense of responsibility to your teammates and our members, demonstrated by the simplest things like being on time and available to meet member’s needs, to being accountable for commitments made to customers or others and ensuring follow-ups are completed preferred.
Flexible and quick learner, willing to adapt to changing customer and business needs preferred.

Responsibilities

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.
Proficient in all basic customer service functions.
Receives and places follow-up telephone calls / e-mails to answer customer questions.
Outbound calls are conducted in the ZipDrug business area.
Inquiries may also be on a walk-in basis.
May require deviation from standard practices and procedures with the assistance of a computerized system.
Seeks, understands and responds to the needs and expectations of internal and external customers.
Ability to multi-task, including handling calls, texts, facsimines, and electronic queues, while simultaneously taking notes and speaking to customers.
Maintain focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment.
Strong verbal and written communication skills, both with virtual and in-person interactions.
Attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely.
Comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.
Structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
Performs other duties as assigned.