Customer Service Representative I

BCBSM
Detroit, MI
Job Description
Role Overview

The Customer Service Representative I will analyze, evaluate, and resolve low complexity membership issues under various product lines. The role involves conducting internal and external research, providing responses through multiple channels, and adhering to departmental and corporate reporting requirements.

What You Will Do

The main responsibilities of this role include evaluating membership issues and price/adjudicating low complexity claims, interacting with customers to resolve problems, and influencing customers to accept decisions and actions.

Why It Might Be a Fit

To be successful in this role, you will need to have a high school graduate or GED equivalent, one year of related work experience, and demonstrated knowledge of policies, practices, and procedures related to membership.

Requirements

  • High school graduate or GED equivalent
  • One year of related work experience in public/customer service, sales representative, claims processing, membership enrollment
  • 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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