Customer Service Rep - KLASC; Detroit C-S-R

About Us

Company:
Blue Cross Blue Shield of Michigan

Industry:
Health Insurance and Health Care

Level:
Non-Manager

Job Family:
Multi-divisional

Compensation:
Competitive Total Compensation Package

When you think of Blue Cross Blue Shield of Michigan for health insurance, you can know you’re getting much more. We're a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future. We offer:
- Plans for employers and individuals that meet today’s needs, budgets and lifestyle
- The largest network of doctors and hospitals in the state
- Lower health care costs & higher quality health care
- Grants and programs that promote better health throughout Michigan

Mission: We commit to being our members’ trusted partner by providing affordable, innovative products that improve their care and health.

For Application Timeline & Selection Process: . Learn more about your options as an external candidate.  to view open positions.

Blue Cross Blue Shield of Michigan is looking for outgoing, energetic, phone‑friendly individuals to work in a fast‑pace call center environment. Customer Service Reps analyze, evaluate, resolve and primarily respond to low‑complexity membership issues under various product lines.

• Conduct low‑complexity internal and external research to determine and request the data needed to handle inquiries regarding membership.
• Analyze and service various product lines (e.g., Facility, Professional) and provide responses by telephone, check‑off letters, and/or automated letters.
• Follow department/corporate reporting requirements (PCRS, ICES, special surveys, manual counts).
• Organize work to meet national, corporate, and departmental production and quality standards.
• Reroute misdirected inquiries.
• Evaluate membership issues/inquiries and adjudicate low‑complexity claims.
• Interact with others inside and outside the organization to resolve inquiry/claim‑related problems.
• Influence customers to accept the reasonableness of decisions and actions.

• High school graduate or GED equivalent.
• One (1) year of related work experience in public/customer service, sales representative, claims processing, membership enrollment, or public contact roles such as teaching, social service work, bank teller, medical assistant/office assistant.
• Demonstrated knowledge of policies, practices, and procedures related to membership.
• Demonstrated ability to analyze data and resolve problems related to membership.
• Demonstrated command of oral and written communication skills in a clear, concise, and tactful manner.

EEO Statement:
All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, national origin, sexual orientation, age, gender identity, protected veteran status, or status as an individual with a disability.