ReddingRecruiter Since 2001
the smart solution for Redding jobs

Correspondence Phone Support, Intermediate

Company: Blue Shield of CA
Location: Redding
Posted on: August 9, 2019

Job Description:

Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California is focused on transforming health care by making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 3.5 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than million to the Blue Shield of California Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution. We're hiring smart thinkers and doers who want to work for a leader and innovator in the challenging, ever-changing healthcare space. Come and help us make health care better for everyone. Member Services
Services plan members by addressing inquiries through different channels (e.g., live web-based applications, telephone and email), resolving issues, and educating members. Ensures proper member services procedures and monitors service levels.

Correspondence/Phone Support - Responds to and resolves various customer inquiries via telephone and correspondence, and resolves claims problems within established production and quality standards. Answers incoming calls and written requests for information from members or providers promptly and accurately. Composes routine and non-routine correspondence to answer member inquiries that require a written response. Coordinates with other departments to ensure timely and appropriate responses. Expedites and resolves complex issues and initiates claim adjustments. Educates others on the Blue Shield product, providing accurate information and updates to policies and procedures, improving overall customer satisfaction. Capable of effectively navigating through multiple platforms or applications to efficiently locate information and complete processing tasks.

Essential Responsibilities: Able to perform lower level responsibilities. Handles escalated calls, may de-escalate calls. Responds to member benefits in writing. Peer to peer coaching /training. Performs inventory reduction, routine to mid-level, (i.e. member inquiries, may adjust claims, responds to emails, etc.). Expedite, research, and resolve complex issues. Consistently performs established performance metrics including but not limited to voice of the customer survey results, quality and production. Other duties as assigned.
Member Services
Services plan members by addressing inquiries through different channels (e.g., live web-based applications, telephone and email), resolving issues, and educating members. Ensures proper member services procedures and monitors service levels.

Correspondence/Phone Support - Responds to and resolves various customer inquiries via telephone and correspondence, and resolves claims problems within established production and quality standards. Answers incoming calls and written requests for information from members or providers promptly and accurately. Composes routine and non-routine correspondence to answer member inquiries that require a written response. Coordinates with other departments to ensure timely and appropriate responses. Expedites and resolves complex issues and initiates claim adjustments. Educates others on the Blue Shield product, providing accurate information and updates to policies and procedures, improving overall customer satisfaction. Capable of effectively navigating through multiple platforms or applications to efficiently locate information and complete processing tasks.

Essential Responsibilities: Able to perform lower level responsibilities. Handles escalated calls, may de-escalate calls. Responds to member benefits in writing. Peer to peer coaching /training. Performs inventory reduction, routine to mid-level, (i.e. member inquiries, may adjust claims, responds to emails, etc.). Expedite, research, and resolve complex issues. Consistently performs established performance metrics including but not limited to voice of the customer survey results, quality and production. Other duties as assigned.
Requires basic job knowledge of systems and procedures obtained through prior work experience or education.
Typically, requires minimum of 3 years of experience. May require vocational or technical education in addition to prior work experience.
Requires basic job knowledge of systems and procedures obtained through prior work experience or education.
Typically, requires minimum of 3 years of experience. May require vocational or technical education in addition to prior work experience.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Keywords: Blue Shield of CA, Redding , Correspondence Phone Support, Intermediate, Other , Redding, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Behavioral Case Mgr
Description: Position Purpose: Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to identify needs and goals to (more...)
Company: Centene Corporation
Location: Chico
Posted on: 08/16/2019

Assembler
Description: Adecco is assisting a local manufacturing client in recruiting for an Assembler position in Redding, CA. This Assembler position is a potential Contract to Hire position.-- Apply Now if you meet the qualifications (more...)
Company: Adecco
Location: Redding
Posted on: 08/16/2019

Field Investigator
Description: We are a national private investigations firm headquartered in Pittsburgh, PA. We conduct field investigations to assist our clients in validating claims. Our cases are assigned by geographic location, (more...)
Company: Becker and Company
Location: Redding
Posted on: 08/19/2019


Telemarketing Positions
Description: Our growing health benefits company is seeking at home representatives. Must be self-motivated and driven. We provide you
Company: Benefits Company
Location: Redding
Posted on: 08/16/2019

Caring And Attentive Nanny
Description: Redding family needs
Company: Care.com
Location: Redding
Posted on: 08/18/2019

Part Time Event Specialist
Description: Part Time Event Specialist Are you outgoing and enjoy interacting with people If promoting brand awareness through product demonstration sounds appealing, then our Part Time Job is the right fit for (more...)
Company: Advantage Solutions
Location: Redding
Posted on: 08/16/2019

Bid On Local Contractor Jobs - Reach New Customers In Your Area
Description: Over 25 million homeowners have trusted HomeAdvisor 1800Contractor to help them find quality professionals with the expertise to turn their home improvement
Company: HomeAdvisor
Location: Redding
Posted on: 08/18/2019

Looking For A Pet Sitter For 1 Dog In Chico
Description: I have a puppy that
Company: Care.com
Location: Chico
Posted on: 08/18/2019

Claims Adjuster 2019 - 1099 - Redding, CA
Description: The independent insurance adjusting services world is highly competitive. Quality service is the distinguishing factor that earns and sustains client relationships.RYZE Claim Solutions, RYZE is an independent (more...)
Company: RYZE Claim Solutions
Location: Redding
Posted on: 08/19/2019

Postmates Delivery Driver (No Experience Needed)
Description: Postmates uses technology to connect local businesses with people around the city. Our fleet receives requests through the app, and delivers anything from anywhere, 24/hrs a day. We
Company: Postmates
Location: Redding
Posted on: 08/18/2019

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Redding RSS job feeds