- 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.
- Requires a High School Diploma or equivalent and previous experience or any combination of education and experience which would provide an equivalent background.
- 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 member advocate willing to listen and find creative solutions to address and resolve members' questions, issues, or concerns.
- A composed individual able to multi-task, navigate multiple computer applications and work 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 members' needs, being accountable for commitments made to members or others, and ensuring follow-ups are completed.
- Flexible and quick learner, willing to adapt to changing member and business needs.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
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Customer Care Representative I - St Louis, United States - Elevance Health
Description
Customer Care Representative I, Call Center
Locations: Norfolk VA, Las Vegas NV, St. Louis MO, Mason OH, and Winston Salem NC
*This is a hybrid position but onsite training will be required based on your location.
Hours: Monday - Friday (off Saturday and Sunday)
Must be available to work a 8 hour shift within the listed hours in your specified time zone below:
8:00am-6pm Pacific Time
8:00am-8pm Central Time
9:00am-8pm Eastern Time
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. As a part of the Elevance Health family of companies, CarelonRx leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.
The Customer Care Representative I is responsible for acting as a trusted advisor and educator on inquiries such as coverage for medications and prior authorizations.
$ Sign-On Bonus
How you will make an impact:
Minimum Requirements:
Preferred Skills, Capabilities, and Experience:
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $18.25 to $20.25.
Locations: Nevada
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
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