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in Hingham, MA

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About this job

Responsibilities:


*Act as the primary resource supporting member education and engagement efforts by contacting members and their representatives to inform and educate them about their health care benefits
*Create positive, meaningful customer interactions by fostering partnerships with members throughout their health care experience via inbound and outbound calls
*Deliver world class service that is personalized in an effort to increase the percentage of very satisfied members and first call resolution as well as support the Medicare 5 STAR Program
*Comply with CMS and DOI contract requirements; keeping well informed of pertinent changes to regulations
*Act as a resource and liaison for multiple partners to assist members with obtaining assistance for overall resolution
*Utilize the BCBSMA computer system to look up and record information regarding a customer's account
*Advise customers regarding policy and benefit information for their health plan
*Trend and share best practices by identifying process improvements and initiatives as well as contributing to solutions
*Actively listen to customers and respond appropriately to their inquiries
*Investigate and resolve member inquiries through correspondence and computer research
*Contribute to a team effort to meet or exceed service, production and quality goals
*Identify errors and implement solutions with team members and leaders
*Meet and exceed daily, weekly and monthly performance goals

Qualifications:

*High school diploma or equivalent
*College degree or comparable experience preferred
*2 plus years of successful work experience in a customer focused environment, direct customer contact via phone preferred
*Prior experience assisting members and/or providers with telephone inquiries
*Basic knowledge of personal computer operations and software packages
*Experience in a Windows environment preferred
*Excellent organizational, problem solving, communication and interpersonal skills

 

Seasonal Member Service Representatives are eligible for the following benefits:

*Health insurance (medical, dental, vision)

*Life insurance

*Short Term and Long Term Disability

*Transportation Subsidy

*Employee Savings Plan (401K)

*Vacation and Sick Time

*Holiday Pay