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Customer Services Representative | Blue Shield of California | Lodi, CA
Transformation is the opportunity
Blue Shield of California is the third largest health plan in
California, with about $7.5 billion in revenue. Our mission is to ensure
Californian's access to high-quality health care at a reasonable price.
Join Blue Shield of California and grow your career with a leader that's
stirring up a change.
Helping make health care for Californians easy, accessible and
reasonably pricedis a great calling. Knowing that your company has
channeled over $100 millionback into California communities and will
continue to do so is flat outuplifting. Join the hardest working,
not-for-profit health plan in Californiaand be part of the solution.
Bilingual (Spanish/English) preferred.
This position responds to and resolves various customer inquiries via
telephoneand correspondence, and resolves claims problems within
established productionand quality standards.
Answers incoming calls and written requests for information from members
orproviders promptly and accurately.
Composes routine and non-routine correspondence to answer member
inquiries thatrequire a written response.
Coordinates with other departments to ensure timely and appropriate
responses.
Expedites and resolves complex issues and makes claims adjustments.
Educates others on the Blue Shield product, providing accurate
information andupdates to policies and procedures, improving overall
customer satisfaction inthe process.
Works with minimal supervision.
Requires High school diploma or GED and two years member/customer
serviceexperience, or equivalent combination of education and
experience.
Claims processing or related HMO experience and/or training.
Ability to enter and retrieve data using computers with related
softwareapplications.
Excellent interpersonal, writing and business telephone skills.
Candidates who are Bilingual (Spanish/ English) are strongly encouraged
toapply. Blue Shield of California is an Equal Opportunity Employer.
Our comprehensive benefits begin on your first day with medical, dental
and vision coverage; 20 days PTO annually; 9 paid holidays; matching
401(k); and company pension.
Blue Shield of California is an Equal Opportunity Employer.
An Independent Member of the Blue Shield Association.
Blue Shield of California
To apply for this position, please copy and paste the following link
into your browser address bar:
http://blueshieldca.contacthr.com/10574405
or submit your resume and salary requirements through our homepage at
https://recruiter.kenexa.com/blueshieldca/cc/CCJobDetailAction.ss?command=CCViewDetail&job_REQUISITION_NUMBER=7081&ccid=bupJEdUjsTs%3D
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