Health Sun - Customer Care Representative I-II: Coconut Grove, FL (PS28520)

Anthem, Inc. in Miami, FL

  • Industry: Healthcare - Allied Health - Others
  • Type: Full Time
position filled
Your Talent.
Our Vision. At HealthSun, a proud member of the Anthem, Inc.
family of companies, it’s a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities.
Join us and together we will drive the future of health care.   This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.   We have a Customer Care Representative I/II that will be Responsible for successfully completing the required basic training.
Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues.
Must pass the appropriate pre-employment test battery.  Must be able to successfully perform all the duties of the Customer Care Representative I/II.     Customer Care Representative I-II:   * Manager will determine level based upon the selected applicant’s skill-set relative to the qualifications listed for this position.* Description   Level I:   •Successfully completed the required basic training, able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues.  •Must pass the appropriate pre-employment test battery.  Primary duties may include, but are not limited to:  •Responds to 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.  •Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims.  •Seeks, understands and responds to the needs and expectations of internal and external customers.  •Required to meet department goals.    Level II:   •Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.  •Proficient in all basic customer service areas performs some but not all types of moderately complex function.  •Must be able to successfully perform all the duties of the Customer Care Rep I.  Primary duties may include, but are not limited to:  •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.  •Proficient in all basic customer service functions.  •Receives and places follow-up telephone calls / e-mails to answer customer questions.
Inquiries may also be on a walk-in basis. 

You may be interested in these similar jobs!
Sales Representatives - Base Plus Commission
TruGreen in Ft. Lauderdale, FL

NOW HIRING – Multiple Openings for Sales Representatives – Same Day Job Offers! TO SCHEDULE AN IN PERSON INTERVIEW WITH A TRUGREEN REPRESENTATIVE PLE…

Read More
General Manager Smoothie King SK Midwest # 943 Miami
943 - OPA-LOCKA SK in Miami, FL

General Manager About SK Midwest: SK Midwest currently consists of 30+ Smoothie King restaurants across six states.  We are seen as leaders in…

Read More
Bilingual Customer Service
Aerotek in Coral Gables, FL

Our client is looking for 3 bilingual customer service representatives for their health care company in the Coconut Grove area.Job Details: Location …

Read More
Dishwasher / Utility Coconut Grove area
Sage Dining Services in Miami, FL

SAGE Dining Services is seeking a full-time, reliable Dishwasher/Utility for a private high school in Coconut Grove Miami, FL. Seeking a passionate i…

Read More
Line Cook - Full Time
JHG - Coconut Grove in Hialeah, FL

PEACOCK GARDEN RESTAURANT IN Coconut Grove is looking for a professional line cook to prepare food to the exact chefs specifications and to set up st…

Read More
Cocinero de Linea/Line Cook
JHG - Coconut Grove in Miami, FL

El Restaurante Peacock Garden Bistro ubicado en Coconut Grove, FL esta contratando cocineros de linea.Estamos buscando un cocinero de l?nea profesion…

Read More
Bilingual Customer Care Representatives
Kelly Services in Miami, FL

Kelly Services is currently seeking several Bilingual Customer Care Representatives for one of our top clients in Coconut Grove, FL 33133.Pay Rate: $…

Read More
Appellate Lawyer
Tein Malone in Miami, FL

We are a diversity-focused state-of-the-art boutique litigation firm in Coconut Grove looking for a civil appellate lawyer with superb research and w…

Read More
RN / Intensive Care Unit
Cross Country Healthcare in Hollywood, FL

The benefits of taking a travel nursing job with Cross Country Nurses include:Free Private Housing or Generous Housing Allowance Comprehensive Health…

Read More
RN / Cardiovascular Intensive Care Unit
Cross Country Healthcare in Hialeah, FL

The benefits of taking a travel nursing job with Cross Country Nurses include:Free Private Housing or Generous Housing Allowance Comprehensive Health…

Read More
RN / Pediatric Intensive Care Unit
Cross Country Healthcare in Miami, FL

The benefits of taking a travel nursing job with Cross Country Nurses include:Free Private Housing or Generous Housing Allowance Comprehensive Health…

Read More
Busser - Bus boy Immediate hiring (Bakan Wynwood)
JHG - Coconut Grove in Hialeah, FL

Bakan Wynwood is looking for BUSSERS to support our wait staff and set up our dining areas.Busser responsibilities include serving plates, glasses, a…

Read More