Customer Care Representative 1 and 2 at Elevance Health

Taguig City, National Capital Region, Philippines

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

HS diploma or equivalent
Up to 1 year of previous experience in an automated customer service environment, or any combination of education and experience providing equivalent background
Must pass the appropriate pre-employment test battery
Requires limited knowledge of company services, products, insurance benefits, provider contracts, and claims
Successfully complete required basic training
Able to perform basic job functions with help from co-workers, specialists, and managers on non-basic issues
Required to meet department goals

Responsibilities

Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims
Analyzes problems and provides information/solutions
Operates a PC/image station to obtain and extract information; documents information, activities, and changes in the database
Thoroughly documents inquiry outcomes for accurate tracking and analysis
Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner
Researches and analyzes data to address operational challenges and customer service issues
Provides external and internal customers with requested information
Under immediate supervision, receives and places follow-up telephone calls/e-mails to answer customer questions that are routine in nature
Uses computerized systems for tracking, information gathering, and troubleshooting
Seeks, understands, and responds to the needs and expectations of internal and external customers

Skills

Key technologies and capabilities for this role

Customer ServiceTelephone SupportWritten CorrespondenceProblem AnalysisDatabase DocumentationPC OperationTroubleshootingInsurance BenefitsClaims ProcessingProvider Contracts

Questions & Answers

Common questions about this position

What are the education and experience requirements for this role?

A high school diploma or equivalent is required, along with up to 1 year of previous experience in an automated customer service environment, or any combination of education and experience that provides an equivalent background.

What are the primary duties of a Customer Care Representative?

Primary duties include responding to customer questions via telephone and written correspondence about insurance benefits, provider contracts, eligibility and claims; analyzing problems and providing solutions; operating PC/image stations to extract information; and thoroughly documenting inquiry outcomes.

Is previous customer service experience required?

Up to 1 year of previous experience in an automated customer service environment is required, or equivalent combination of education and experience.

What is the salary range for this position?

This information is not specified in the job description.

Is this a remote position, or is there a location requirement?

This information is not specified in the job description.

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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