[Hiring] Customer Care Representative I @Elevance Health

Role Description

The Customer Care Representative I is 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.

This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

  • 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.

Qualifications

  • Requires a HS diploma or equivalent and previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.

Requirements

  • Strong oral, written, and interpersonal communication skills.
  • Problem-solving skills.
  • Facilitation skills.
  • Analytical skills.

Benefits

  • Comprehensive benefits package.
  • Incentive and recognition programs.
  • Equity stock purchase.
  • 401k contribution (all benefits are subject to eligibility requirements).
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