Customer Care Representative I-III - Reno, NV - 8/18 - 88834 Administrative & Office Jobs - Reno, NV at Geebo

Customer Care Representative I-III - Reno, NV - 8/18 - 88834

Company Name:
WellPoint-Caremore
Customer Care Representative I-III - Reno, NV - 8/18 - 88834
NV , Reno
Job Post Date:
08/11/2014
Employer:
WellPoint, Inc
Benefits:
WellPoint's Benefits
Job Description
WellPoint is one of the nations leading health benefits companies and a Fortune Top 50 company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to simplify the connection between health, care, and value for our customers.
Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.
Customer Care Representative I-III:
Manager will determine level based upon the selected applicant's skillset 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.
May require deviation from standard practices and procedures with the assistance of a computerized system.
Requires general 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 and expectations.
Level III:
Reviews requests by mail, telephone, or in person regarding insurance claims/policies.
Fully proficient in all key areas; performs many complex functions.
Must be able to successfully perform all the duties of the Customer Care Rep II.
Primary duties may include, but are not limited to:
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.
Required to meet department goals and expectations.
Job Qualifications
Level I:
Requires a HS diploma or GED;
up to 1 year of previous experience in an automated customer service environment;
or any combination of education and experience, which would provide an equivalent background.
Strong communication skills required.
Strong computer skills required.
At least 2 years of customer service experience required.
Level II:
Requires a HS diploma or GED:
1 to 3 years of WellPoint experience in an automated customer service environment;
or any combination of education and experience, which would provide an equivalent background.
Level III:
Requires a HS diploma or GED;
3 to 5 years of WellPoint experience in an automated customer service environment;
or any combination of education and experience, which would provide an equivalent background.
WellPoint is ranked as one of Americas Most Admired Companies among health insurers by Fortune magazine, and is a 2013 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us . EOE.M/F/Disability/Veteran.
Once an offer is accepted, all external applicants are subject to a background investigation and if appropriate, drug testing. Offers of employment shall be contingent upon passing both the background investigation and drug testing (if required).
Current WellPoint associates: All referrals must be submitted through the formal associate referral process on WorkNet. Official guidelines for the associate referral program can be found in My HR.
WARNING :Please beware of phishing scams that promote work-at-home opportunities and may also pose as legitimate companies. Please be advised that a WellPoint recruiter will never ask you for a credit card or any type of payment as part of consideration for a role with our company. All of our careers require that you first complete an online application on our web site.Estimated Salary: $20 to $28 per hour based on qualifications.

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