The customer revel in consultant gives a world elegance customer service experience via decision of complex customer inquiries from participants, companies, inner clients, and other Blue Plans related to Medicare benefit (MA).

“This position is eligible to paintings onsite or remote according with our Telecommuting policy.

This function consists of hours that may variety from eight:00 a.M. To eight:00 p.M. And may encompass weekend hours from October 1 through March 31.

Why be part of Us?

family Comes First: overall rewards package deal that promotes the concept of circle of relatives first for all personnel; which include paid day without work and family first depart.
expert growth opportunities: advance your career with ongoing training and development packages each through our internal Blue college and external possibilities.
Dynamic paintings surroundings: Collaborate with a crew of passionate and driven people.
Make a fantastic impact: Your work will directly make a contribution to the fitness and well-being of Kansans.
balance: eighty years of commitment, compassion, and community
Lead and inspire: manual and mentor your team to reap their complete capability and success.
stability: paid vacation and sick leave with paid maternity and paternity available right now upon rent
real world experience: you’ll work hand in hand with our group in gaining knowledge of our commercial enterprise and making use of your school room gaining knowledge of.
Networking opportunities: participate in our corporate intern program and network with different interns at BCBSKS to beautify your gaining knowledge of opportunity.

Reimbursement

$20.42- $24.30

Non-Exempt Grade eleven

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Blue cross and Blue protect of Kansas gives top notch competitive reimbursement with the purpose of retaining and growing gifted team participants. The repayment range for this position is a great religion estimate, it’s far predicted based totally on what a a success candidate might be paid. All offers supplied to candidates are cautiously reviewed to make sure fair, equitable pay by way of supplying competitive wages that align with the person’s competencies, schooling, enjoy, and training. The range may additionally vary above or beneath the stated amounts.

What you may do

Responsibilities:

Research, remedy, and respond to inquiries and correspondence through cellphone, written, and email verbal exchange. Inquiries can be concerning benefits, eligibility, insurance and plan adjustments, bills, claims, previous authorizations, appeals, and grievances.
Resolve client inquiries and grievances in a well timed and accurate manner in keeping with company and regulatory necessities.
Work with friends, other departments, and management to find appropriate answers to issues.
May additionally serve as a backup in processing MA member, member representative, or company appeals and grievances.
Perform assigned job-related duties as required, along with any unique projects.

What you need

Information/competencies/abilties:

Effective verbal exchange competencies to clear up complex inquiries and grievances. Have to be capable of observe company style guide and excel at written, in addition to verbal conversation.
Ability to engage definitely with inner and external customers while demonstrating empathy, adaptability, and listening abilities.
Analytical and hassle-fixing talents to diagnose issues and propose effective solutions.
Capacity to listen, talk, type, and perform research concurrently the usage of various studies channels.
Capability to hold strict confidentiality in handling records associated with task responsibilities.
Effective time-management abilties to respond to patron inquiries directly.
Technical talents to effectively use pc packages and troubleshoot simple laptop problems independently or with path.
Must be relaxed working independently in a based surroundings.
Capacity to adhere to a rigid agenda and feature regular and predictable attendance.
Potential to gain production-based performance goals. Attain and preserve any departmental or legally required certifications (e.G. CMS or BCBSA requirements).

Upon crowning glory of education:

Running understanding of Blue pass and Blue protect of Kansas’ MA and different applicable customer support structures is needed.
Targeted know-how of MA line of commercial enterprise is needed.

Education and revel in:

Required:

Excessive school degree or equivalent.
Two years of customer service enjoy.

Favored:

University or continuing training publications in communications and/or medical related fields.
Years of navigating a couple of pc systems concurrently.
Years of MA or other call middle or production-based totally customer support experience.
Blue Plan revel in.

Bodily requirements:

Talk by phone 95 percentage of the workday.
Use a non-public laptop in a desk bound function as a minimum ninety five percent of the workday.

Advantages & Perks

Base pay is most effective one aspect of your competitive total Rewards bundle:
Incentive pay program (EPIP).
Fitness/imaginative and prescient/Dental coverage.
6 weeks paid parental depart for new mothers and fathers.
Fertility/Adoption help.
2 weeks paid caregiver go away.
5% 401(okay) plan matching.
Training reimbursement.
Health & fitness blessings, reductions and resources.

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