Customer Service Rep I - MA Servicing (Detroit) C-S-R
Blue Cross Blue Shield of Michigan · Detroit, Michigan, US
Customer Service Rep I Full-time Shift: 8:00 am to 5:00 pm Detroit, MI Assessment required- Customer Service Rep Blue Cross Blue Shield of Michigan is lookin...
Job description
Customer Service Rep I Full-time Shift: 8:00 am to 5:00 pm Detroit, MI Assessment required- Customer Service Rep Blue Cross Blue Shield of Michigan is looking for outgoing, energetic, phone friendly individuals to work in a fast-pace call center environment. The Customer Service Reps analyzes, evaluates, resolves and primarily responds to low complexity level membership issues under various product lines. - Primarily conducts low complexity internal and external research to determine and request the data needed to handle inquiries regarding membership. - Analyze and service various product lines in the area (i.e., Facility, Professional). Provide responses by telephone, check-off letters, and/or automated letters. - Follow department/corporate reporting requirements (i.e., PCRS, ICS, Special Surveys and Manual counts). - Organize work to meet National/Corporate/Department Production and Quality Standards. - Reroute misdirected inquiries. - Primarily evaluates membership issues/inquiries and price/adjudicates low complexity claims/inquiries. - Interact with others inside and outside the organization to resolve the inquiry/claim related problems. - Influence customers to accept the r...