Customer Care Representative

Anticipated End Date:

Position Title: Customer Care Representative I

The Customer Care Representative I is responsible for successfully completing the required basic training and for performing basic job functions with assistance from co‑workers and supervisors on non‑basic issues. Must pass the appropriate pre‑employment test battery.

Hybrid:
In-office 1–2 days per week. This approach combines structured office engagement with the autonomy of virtual work. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered unless accommodation is granted as required by law.

• Respond to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
• Analyze problems and provide information/solutions.
• Operate a PC/image station to obtain and extract information; document information, activities, and changes in the database.
• Thoroughly document inquiry outcomes for accurate tracking and analysis. Develop and maintain positive customer relations and coordinate with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
• Research and analyze data to address operational challenges and customer service issues.
• Provide external and internal customers with requested information.
• Under immediate supervision, receive and place follow‑up telephone calls and e‑mails to answer routine customer questions.
• Use computerized systems for tracking, information gathering, and troubleshooting.
• Conduct outbound calls in the Zip Drug business area.

• High School diploma or equivalent and previous experience in an automated customer service environment; or any combination of education and experience that provides an equivalent background.

• Strong oral, written, and interpersonal communication skills.
• Problem‑solving skills, facilitation skills, and analytical skills.

Non‑Management, Non‑Exempt

1st Shift (United States of America)

CUS >
Care Reps

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status or condition protected by applicable federal, state, or local laws.

Qualified applicants who require accommodation to participate in the job application process should submit the Accessibility Accommodation Request Form, and a member of the team will be in contact. Applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 – Florida Agency for Health Care Administration.