Jobs · OTHR · Michigan

Customer Service Rep I - KLASC (Grand Rapids) C-S-R

Blue Cross Blue Shield of Michigan · Grand Rapids, MI · 1 mo ago
OTHRFull-time

About the role

Customer Service Representative I who analyzes, evaluates, and resolves low-complexity membership issues across various product lines. Conducts internal and external research to handle inquiries regarding membership, services product lines (e.g., Facility, Professional), and responds via telephone, check-off letters, or automated letters. Follows department and corporate reporting requirements and organizes work to meet production and quality standards.

Responsibilities

  • Analyze and service low-complexity membership issues and inquiries.
  • Conduct research to determine and request data needed to resolve membership inquiries.
  • Provide responses by telephone, check-off letters, and/or automated letters.
  • Follow department and corporate reporting requirements (e.g., PCRS, ICS, Special Surveys, Manual counts).
  • Organize work to meet National, Corporate, and Department Production and Quality Standards.
  • Reroute misdirected inquiries.
  • Evaluate membership issues and price/adjudicate low-complexity claims or inquiries.
  • Interact with internal and external stakeholders to resolve inquiry or claim-related problems.
  • Influence customers to accept the reasonableness of decisions and actions.

Qualifications

  • High school graduate or GED equivalent.
  • One (1) year of related work experience in areas such as public/customer service, sales, claims processing, or membership enrollment; or one (1) year of public contact experience in roles like teaching, social service work, bank teller, or medical/office assistant.
  • Demonstrated knowledge of policies, practices, and procedures related to membership.
  • Demonstrated ability to analyze data and resolve membership-related problems.
  • Strong oral and written communication skills, with the ability to convey information clearly, concisely, and tactfully.

Schedule

Full-time shift from 8:00 am to 8:00 pm. Shift bidding process based on seniority.

Assessment required for the role. Location: Grand Rapids, MI.

Similar jobs

Customer Service Rep I

Light & WonderLas Vegas, NV· 2 mo ago
Customer Serviceapply on lnw.wd5.myworkdayjobs.com

Customer Service Rep I

CareStream Advisory GroupUnited States· 1 mo ago
RemoteCustomer Service$16.97–$22.1/hrapply on talentify.io

Customer Service Rep I

Rentokil Pest Control North AmericaNew Hampshire, United States· 2 mo ago
Customer Serviceapply on terminix.wd1.myworkdayjobs.com