Customer Service Rep (Premier)
Independence Blue Cross · Philadelphia, PA · 1 mo ago
OTHRFull-time
Responsibilities
- Attains and keeps current with the knowledge and skills required to provide information, service, and assistance in response to all inquiries.
- Available as assigned to accept calls in a professional and courteous manner.
- Determines the nature of the call and takes all possible action, including research, completing forms, or any follow-up, to expeditiously ensure the provision of accurate information, service, and assistance upon first contact.
- Acquires knowledge of all claims systems applications and member service systems.
- Prepares and forwards appropriate requests to operating areas to accomplish action required as a result of the inquiry.
- Checks internal system inboxes to ensure completion and follow-up action.
- Obtains required information and makes a callback when necessary to complete action on inquiries.
- Maintains quality performance standards and works within established time frames.
- Acknowledges each piece of mail and responds to written inquiries either by telephone or letter as required in a professional manner.
- Advises the Supervisor when any of the above accountabilities cannot be performed because of matters beyond the control of the Representatives, such as system, procedural, or administrative errors that indicate a trend.
- Absorbs and asks effective probing questions and deescalates challenging member inquiries and concerns.
- Supports the area in the ongoing use of TQM principles in a continuous quality improvement process.
Qualifications
- Minimum High School diploma or equivalent
- Two years of college education preferred
- Experience 2-3 years proven work experience with customer contact preferred
- Experience in the hospitality, healthcare, or pharmaceutical industry
- Exceptional customer service, problem-solving skills
- Bilingual a plus
- Strong communication skills
- Demonstrated strong interpersonal skills
- With minimal supervision, demonstrates the ability to research and analyze information from various systems, make responsible decisions, and demonstrate customer-focused professionalism at all times.
- This role is designated by Independence as fully remote.
- The incumbent will not be required to report to one of Independence’s physical office locations to perform the work.
- However, the work must be performed in the following states: Houston, TX, Columbus, OH, or in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.
- IBX is an Equal Opportunity Employer.
- All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability
- Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.