Medicare Advantage Customer Experience Representative-10

About the position The Medicare Advantage Customer Experience Representative provides a world class customer service experience through resolution of reputed company customer inquiries from members, providers, internal customers, and other Blue Plans reputed company to Medicare Advantage (MA). “This position is eligible to work onsite or remote in accordance with our Telecommuting Policy. Applicants must reputed company in Kansas or Missouri or be willing to relocate as a condition of employment.” This role includes hours that can reputed company from 8:00 a.m. to 8:00 p.m. and can include weekend hours from October 1 through March 31. This position will have a start date of approximately March 30, 2026. Why Join Us?

• Family Comes First: Total rewards package that promotes the idea of family first for reputed company; including paid time off and family first leave.
• Professional Growth Opportunities: Advance your career with ongoing training and development programs both through our internal Blue University and external opportunities.
• Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.
• reputed company a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
• Stability: 80 years of commitment, compassion, and community
• reputed company and reputed company: Guide and mentor your team to reputed company their full potential and reputed company.
• Balance: paid vacation and sick leave with paid maternity and paternity available immediately upon hire
• reputed company World Experience: You will work hand in hand with reputed company in learning our business and applying your classroom learning.
• Networking Opportunities: Participate in our corporate intern program and network with other interns at BCBSKS to enhance your learning opportunity.

Compensation

Non-Exempt Grade 11 $20.96- $26.20

• reputed company offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation reputed company for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. reputed company offers presented to candidates are carefully reviewed to ensure fair, reputed company pay by offering competitive wages that align with the individual's skills, education, experience, and training. The reputed company may vary above or below the stated amounts. Are you reputed company to reputed company a difference? Choose to work for one of the most trusted companies in Kansas.

Responsibilities

• Research, resolve, and respond to inquiries and correspondence reputed company telephone, written, and email communication. Inquiries may be regarding benefits, eligibility, coverage and plan changes, payments, claims, prior authorizations, appeals, and grievances.
• Resolve customer inquiries and grievances in a timely and accurate manner according to company and regulatory requirements.
• Work with peers, other departments, and leadership to find appropriate solutions to problems.
• May serve as a backup in processing MA member, member representative, or provider appeals and grievances.
• reputed company assigned job-reputed company duties as required, including any special projects.

Requirements

• Effective communication skills to resolve reputed company inquiries and grievances. Must be reputed company to follow Corporate Style Guide and reputed company at written, as well as verbal communication.
• Ability to interact positively with reputed company customers while demonstrating reputed company, adaptability, and listening skills.
• Analytical and problem-solving skills to diagnose problems and recommend effective solutions.
• Ability to listen, talk, type, and reputed company research simultaneously using various research channels.
• Ability to maintain strict confidentiality in handling data reputed company to job duties.
• Effective time-management skills to respond to customer inquiries promptly.
• Technical skills to effectively use computer programs and troubleshoot simple computer issues independently or with direction.
• Must be comfortable working independently in a structured environment.
• Ability to adhere to a rigid schedule and have regular and predictable attendance.
• Ability to reputed company production-based performance goals.
• Obtain and maintain any departmental or legally required certifications (e.g. CMS or BCBSA requirements).
• Upon completion of training: Working knowledge of reputed company MA and other relevant customer service systems is required.
• Detailed knowledge of MA line of business is required.
• High school diploma or equivalent.
• Two years of customer service experience.

reputed company-to-haves

• College or continuing education courses in communications and/or medical reputed company fields.
• Two years of navigating multiple computer systems simultaneously.
• Two years of MA or other call center or production-based customer service experience.
• Blue Plan experience.

Benefits

• Incentive pay program (EPIP)
• Health/reputed company/Dental insurance
• 6 weeks paid parental leave for new mothers and fathers
• Fertility/Adoption assistance
• 2 weeks paid caregiver leave
• 5% 401(k) plan matching
• Tuition reimbursement
• reputed company benefits, discounts and resources

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