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Customer Service Rep - KLASC; Grand Rapids C-S-R

Job in Grand Rapids, Kent County, Michigan, 49504, USA
Listing for: Blue Cross and Blue Shield Association
Full Time position
Listed on 2026-03-01
Job specializations:
  • Customer Service/HelpDesk
    Customer Service Rep, Bilingual
Job Description & How to Apply Below
Position: Customer Service Rep I - KLASC (Grand Rapids) C-S-R
Customer Service Rep I

Full-time

Shift: 8:00 am to 8:00 pm

(Shift bidding process based on seniority)

Grand Rapids, MI

Assessment required - Customer Service Rep

Blue Cross Blue Shield of Michigan is looking for outgoing, energetic, phone friendly individuals to work in a fast-pace call center environment. Our Customer Service Reps analyzes, evaluates, resolves and primarily responds to low complexity level membership issues under various product lines.

* Primarily conducts low complexity internal and external research to determine and request the data needed to handle inquiries regarding membership.

* Analyze and service various product lines in the area (i.e., Facility, Professional). Provide responses by telephone, check-off letters, and/or automated letters.

* Follow department/corporate reporting requirements (i.e., PCRS, ICS, Special Surveys and Manual counts).

* Organize work to meet National/Corporate/Department Production and Quality Standards.

* Reroute misdirected inquiries.

* Primarily evaluates membership issues/inquiries and price/adjudicates low complexity claims/inquiries.

* Interact with others inside and outside the organization to resolve the inquiry/claim related problems.

* Influence customers to accept the reasonableness of decisions and actions.

QUALIFICATIONS

* High school graduate or GED equivalent.

* One (1) year of related work experience in areas such as public/customer service, sales representative, claims processing, membership enrollment; or one (1) year of public contact in positions such as teaching, social service work, bank teller, medical assistant/office assistant.

* One (1) year of total related experience or in the absence of internal BCBSM experience, the following may apply:
One (1) year of related work experience in areas such as public/customer service, sales representative or claims processing.

* Demonstrated knowledge of policies, practices and procedures related to membership.

* Demonstrated ability to analyze data and resolve problems related to membership.

* Demonstrated command of all skills necessary for oral and written communications in a clear, concise and tactful manner.
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