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Company Name : Anthem
Location : Norfolk, VA
Position : Customer Care Representative I, II, III
Job Description : Description SHIFT: Day Job
SCHEDULE: Full-time
Customer Care Representative I, II, III
Remote: Within 50 miles of an Anthem Office in South Carolina, Nevada, Virginia, Indiana, Georgia or Massachusetts
Be part of an extraordinary team We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Build the Possibilities. Make an extraordinary impact. Beacon offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care. Beacon Health Options is a proud member of the Anthem Inc family of companies. As a Customer Care Representative, you will be responsible for successfully completing the required basic training. As a Customer Care Representative, you will be able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. You must pass the appropriate pre-employment test battery.
How you will make an impact:
Responds to internal and external customer questions via telephone and written correspondence 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.
Outbound calls are conducted in the ZipDrug business area.
Proficient in all basic customer service functions.
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.
Responds to inquiries from policyholders, providers and/or others for information and assistance.
Performs research to respond to inquiries and interprets policy provisions to determine most effective response.
Qualifications
This position can be filled at Customer Care Representative I, II or III level. The hiring manager will determine the level, based on the candidate’s experience and background.
Minimum Requirements:
CCRI – Requires a HS diploma or equivalent and previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.
CCRII – Requires a HS diploma or equivalent and a 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
CCRIII – Requires a HS diploma or equivalent and a minimum of 3 years of the company’s experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.
Ability to work from home with internet access and a quiet and private workspace
Preferred Skills, Capabilities and Experience:
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
A customer advocate willing to listen and find creative solutions to address and resolve customers questions, issues, or concerns
A composed individual able to multi-task, navigating multiple computer applications and working efficiently while communicating and serving the customer
Must 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.
Flexible and quick learner, willing to adapt to changing customer and business needs.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Medical background.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short- and long-term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state, and local laws.
Anthem, Inc. has been named as a Fortune Great Place to Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.
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