Remote Member Care Specialist

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Remote Member Care Specialist

@ Florida Blue (Blue Cross Blue Shield)

This is a remote opportunity where you will have a teacher-like schedule where you work for 9 months and are off for 3 months during the summer with full pay and benefits. At the end of 3 months, you would return and work another 9-month rotation. We will provide you with all the tools necessary to be successful! Including, equipment, training, and constant support from your leaders

You will: 

• Review members’ enrollment or claims history ensuring accuracy of billing and enrollment and application of deductible and member responsibility. 
• Utilize the Florida Blue Call Strategy to provide outstanding customer service and call resolution to our members; follow-up on issues to ensure resolution for customer. 
• Research and resolve sales and service-related inquiries meeting established expectations for quality, productivity and timeliness. 
• Evaluate data through questioning, probing, and reasoning for process improvements. 

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Qualifications:

• 2 years of customer service experience or equivalent combination of education and experience 
• 1 year of building collaborative relationships with customers, clients, and/or peers in different teams  
• High school diploma or equivalent 
• High Speed internet with a router that has 2 ports
• Ability to commit to a 9 to 11-week paid training program with limited absences 
• Ability to use multiple systems while you resolve/respond to customer inquiries and concerns, using sound problem solving and decision-making skills resolving simple to complex issues 
• Demonstrated empathy and compassion, with outstanding listening and communication skills 
• Ability to work assigned shift between 8:00AM-6:30PM EST; Nights, weekends, holidays may be necessary as business needs require 

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How to Apply:

Apply online at https://careers.guidewell.com/us/en, keyword search "remote member care." 

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