ReddingRecruiter Since 2001
the smart solution for Redding jobs

Correspondence Phone Support, Intermediate

Company: Blue Shield of CA
Location: Redding
Posted on: November 4, 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


Postmates Delivery Driver (Supplement Your Income)
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 are
Company: Postmates
Location: Redding
Posted on: 11/14/2019

RN Cath Lab / CVICU / CVOR Travel Nurse
Description: Travel CVOR, CVICU Cath Lab Nurses Needed--Oklahoma Cardiac Services Travel RNsCardiovascular Intensive Care, Cardiac Cath LabCardio-Vascular SurgeryManagement of HCEN spent 25 years with Surgical Services (more...)
Company: HealthCare Travelers (Nursing)
Location: Chico
Posted on: 11/14/2019

Utility Worker
Description: Overview Transdev is the largest private sector operator of multiple modes of passenger transit in North America, providing bus, rail, paratransit, shuttle, sedan and taxi services. We manage over 200 (more...)
Company: Transdev North America, Inc
Location: Chico
Posted on: 11/14/2019


Grubhub Delivery Driver - Be on YOUR Schedule and Earn BIG! - Chico
Description: Grubhub, the nation's leading online and mobile food ordering company, is looking for delivery drivers to deliver food from popular local restaurants. It's quick and easy to EARN BIG Why Partner with (more...)
Company: Grubhub
Location: Chico
Posted on: 11/14/2019

Nurse Practitioner Needed in CA
Description: Nurse Practitioner 55/HR - 65/HR Chico California Gynecology Practice
Company: Quintessential Staffing
Location: Chico
Posted on: 11/14/2019

Team Class A CDL Truck Drivers - OTR
Description: Transco is now hiring OTR teams. The ideal candidate has a valid CDL A and a clean driving and criminal record.-- br br Interested Apply now br br -- br br Benefits br br br Late model (more...)
Company: Transco Lines, Inc.
Location: Chico
Posted on: 11/14/2019

CDL-A Team Owner Operator Truck Driver - $1.05-MILE BASE PAY
Description: Call Today to Learn More About Our New Market Premium Pay for Owner Operator Teams NEW - EAST/WEST DEDICATED ROUTES FOR TEAMS Are you in it for the long haul John Christner Trucking is. 32 years in business, (more...)
Company: John Christner Trucking
Location: Redding
Posted on: 11/14/2019

Registered Nurse - RN - Travel Contract
Description: Text Accountable to 86754 to get started Travel Nurses - RN - Immediate and Future 13 Week Travel Contracts. Specialties: Emergency Department Trauma - ED / ER, Intensive Care Unit - ICU, Labor (more...)
Company: Accountable Healthcare Staffing
Location: Redding
Posted on: 11/13/2019

Bid On Local Landscaping 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: 11/13/2019

Postmates Part Time Delivery Driver (Supplement Your Income)
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 are
Company: Postmates
Location: Redding
Posted on: 11/14/2019

Log In or Create An Account

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

Redding RSS job feeds