Member Customer Service Representatives II - Premera Blue Cross

**Join Our Team: Do Meaningful Work and Improve People's Lives** Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare. To better serve our customers, we're creating a culture that promotes employee growth, collaborative innovation, and inspired leadership. We are committed to creating an environment where employees can do their best work and where best-in-class talent comes, stays, and thrives! As a result of these efforts we are proud to share that Forbes ranked Premera among America's 2023 Best Midsize Employers (https://www.forbes.com/lists/best-midsize-employers/?sh=58210f5e210f) and America's 2023 Best Employers By State (https://www.forbes.com/lists/best-employers-by-state/?sh=21c7c3d1983b) . Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com . Premera is committed to making healthcare work better, and it all starts with the Customer Service Representative. To help us continue to provide the best support for our customers, Premera is hiring additional **Customer** **Service Representatives** based out of Eastern Washington, Idaho, Oregon, Montana, Texas, and Arizona areas. If you have 12 months of customer service experience this can be your opportunity to start your career! As a Customer Service Representative, you play an essential role in ensuring that the customers we serve are provided with a first call resolution. Our customers often have questions that they are not able to resolve themselves and you help resolve those questions by providing information and education. You will execute a wide variety of tasks including managing inbound and outbound calls, conducting research on claim status, and investigating requests. Your hard work and commitment to provide excellent service will ensure that our customers feel they have received the level of support they expect. Occasionally, issues will require additional support and you will escalate them appropriately. You will also document all your work to help ensure accuracy, identify trends, and improve processes. The **Customer Service Representative II** provides inbound and/or outbound customer service support ensuring delivery of accurate, complete, and timely information pertaining to member policies and coverage thoroughly documenting all calls. Conducts research to provide claims status, as well as investigates routine requests and escalates all call issues as required. Customer Service Reps II serve both Premera members and providers. Provider Reps serve Premera's providers which includes doctors, facilities (clinics, hospitals, skilled nursing facilities, etc.), and vendors for multiple geographic locations. **What you will love:** + Set schedule with consistency - Monday through Friday, 8-hour shift between 5 a.m. and 8 p.m. Pacific Time. + Career progression opportunities. + Twelve weeks of paid virtual training (100% attendance required). + Work from home, full time (40-hour week). + Upon successful graduation of the 12-week training class, Premera will provide a one-time pre-tax allotment of **$500 (minus taxes)** towards home office furniture. + Generous benefits package that starts on Day 1 including health, dental, vision, PTO, and incredible retirement packages. **What you will do:** + Accountable for inbound and/or outbound phone-based customer service; provides first call and/or email resolution, de-escalate calls, as well as provides caller education, through clear and accurate exchange of information. + Follow-up, resolve and document issues in a timely manner. Route inquiries needing further investigation to the appropriate department and conduct routine research as needed. + Follow up on pended items and route incoming paperwork to correct departments for completion. + Work with highly sensitive information while maintaining Personal Protected Information (PPI) requirements. + Performs with reliable and consistent behaviors, performance goals and metrics, and attendance. + Other duties as assigned. **What you will bring:** + High School Diploma or GED **(Required).** + One (1) year of previous customer service experience **(Required).** + Experience with MS Office or other computer platforms **(Required).** + Two (2) years of college level courses or two (2) years' work experience with phone related customer service. + Healthcare, benefits, call center, claims processing or Facets experience. **What we offer** + Medical, vision and dental coverage + Life and disability insurance + Retirement programs (401K employer match and pension plan) + Wellness incentives, onsite services, a discount program and more + Tuition assistance for undergraduate and graduate degrees + Generous Paid Time Off to reenergize + Free parking **Equal employment** **opportunity/affirmative** **action:** Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law. If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at careers@premera.com or via phone at 425-918-4785. **Premera is hiring in the following states, with some limitations based on role or city:** Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin _._ The pay for this role will vary based on a range of factors including, but not limited to, a candidate's geographic location, market conditions, and specific skills and experience. **National Salary Range:** $36,600.00 - $54,900.00 At Premera, we make healthcare work better. By focusing on improving our customers' experience purposefully and serving their needs passionately, we make the process easier, less costly, and more positive. Through empathy and advocacy, we change lives. As the leading health plan in the Pacific Northwest, we provide comprehensive health benefits and services to more than 2 million customers, from individuals to Fortune 100 companies. Our services include innovative programs focused on health management, wellness, prevention, and patient safety. We deliver these programs through health, life, vision, dental, disability, and other related products and services. Premera Blue Cross is headquartered in Mountlake Terrace, WA, with operations in Spokane and Anchorage. The company has operated in Washington since 1933 and in Alaska since 1952. With more than 80 years of experience in the region, we deliver innovation, choice, and expertise.