Summary
 

Provide prompt, accurate, thorough and courteous responses to all customer inquiries. Inquires may be non-routine and require deviation from standard screens, scripts, and procedures. Perform research as needed to resolve inquiries.

Description
 

Join us and be part of the National Alliance team that provides world-class service for health plan members nationwide. A division of BlueCross BlueShield of South Carolina, National Alliance builds partnerships with other Blue plans across the United States to offer health plan administration for self-funded accounts. Learn more at nationalalliance.com 

Logistics:

This is a full-time position, Monday through Friday, 8am-4:30pm or 9:30am-6pm. This position will be remote after a training period.

What You’ll Do:

• Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries.
• Handles situations which may require adaptation of response or extensive research.
• Accurately documents inquiries.
• Initiates or processes adjustments or performs other research as needed to resolve inquiries.
• Coordinates with other departments to resolve problems.
• Responds to, researches and/or assists with priority inquiries and special projects as required by management.
• Provides feedback to management regarding customer problems, questions and needs.
• Maintains accurate records on complaints and/or other customer comments, and makes recommendations for changes to management.
• Follows through on complaints until resolved or reports to management as needed.
• Maintains basic knowledge of quality work instructions and company policies.
• Assists with process improvements through the recommendation of changes in procedures and techniques discovered during daily operations.
• Maintains all departmental productivity, quality, and timeliness standards.
• Assist with the training of new employees and cross training of coworkers.

                      

To Qualify for This Position, You’ll Need:

• A High School Diploma or equivalent
• 1 year of claims processing or customer service experience OR Bachelor's Degree in lieu of work experience.
• Skills and Abilities:
• Understands a second language (Bilingual speaking proficiency in Spanish/English)
• Answers telephones
• Diagnoses problems
• Explains benefits, procedures, etc
• Informs stakeholders
• Listens actively

What Blue Can Do For You:

Our comprehensive benefits package includes:

• 401(k) retirement savings plan with company match
• Subsidized health plans and free vision coverage
• Life insurance
• Paid annual leave — the longer you work here, the more you earn
• Nine paid holidays
• On-site cafeterias and fitness centers in major locations
• Wellness programs and a healthy lifestyle premium discount
• Tuition assistance
• Service recognition

What to Expect Next:

After submitting your application, our recruiting team members will re