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Customer Care Representative
Elevance Health. Respond to internal and external customer questions by telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong customer service capabilities by effectively responding to inquiries and resolving issues in a healthcare environment. Proficient in utilizing computerized systems for data tracking and analysis while maintaining positive customer relations.
Highest-signal resume keywords
Customer Service ExperienceCall Center ExperienceHealthcare Environment ExperienceProblem-Solving SkillsAnalytical Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisInformation ExtractionDocumentationTroubleshootingAutomated Customer Service
Soft Skills
Interpersonal CommunicationWritten CommunicationFacilitation Skills
Tools & Technologies
PCComputerized Systems
Certifications & Qualifications
HS Diploma or Equivalent
Industry Keywords
Insurance BenefitsProvider ContractsEligibilityClaimsOperational Challenges
About the role
Key responsibilities & impact- Respond to internal and external customer questions by telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims
- Analyze problems and provide information and solutions
- Operate a PC/image station to obtain and extract information
- Document information, activities, changes and inquiry outcomes in databases
- Develop and maintain positive customer relations
- Coordinate with company functions to handle customer requests and questions appropriately and promptly
- Research and analyze data to address operational challenges and customer service issues
- Provide requested information to internal and external customers
- Make and receive routine follow-up telephone calls and emails
- Use computerized systems for tracking, information gathering and troubleshooting
- Handle calls, texts, facsimiles and electronic queues while taking notes and speaking with customers
- Complete other duties as assigned
Requirements
What you’ll need- HS diploma or equivalent
- Previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background
- Must pass the appropriate pre-employment test battery
- Ability to complete required basic training
- Call center experience strongly preferred
- Experience working in a healthcare environment strongly preferred
- Strong oral, written and interpersonal communication skills
- Problem-solving skills
- Facilitation skills
- Analytical skills
- Ability to work a shift between 9:30 AM and 8:00 PM Eastern time
- Ability to work from the office as necessary
- Ability to work within commuting distance of a posting location
Benefits
Comp & perks- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short-term disability benefits
- Long-term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Virtual work flexibility
- Occasional overtime or flexibility based on business needs