Please email HR_Talent_AcquisitionTeam@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process.

At BCBSRI, our greatest resource is our people.

We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do-not just for our members, but for our employees as well.

We recognize that to do your best work, you have to be your best self.
It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees.

Our culture is one of belonging.
We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you're at in the organization, you're an integral part of our team and your input, thoughts, and ideas are valued.

Join others who value a workplace for all.
We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders.

We're dedicated to serving Rhode Islanders.
Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state-building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer.

What you'll do:

• • Respond to Medicare members written or telephonic inquiries. Educate members and clearly respond to inquiries concerning products, benefits and eligibility, or billing.
  • Participate in Medicare Retention events in the community; member education sessions in the form of product and benefit presentations, health fairs, and trade shows, as needed.
  • Proactively build and maintain positive relationships with members and external partners.
  • Assist with retention initiatives and projects. Ensure compliance in all aspects of activities with internal policies as well as all regulatory agencies.
  • Identify cross-selling or promotion opportunities such as dental insurance, care management, or clinical programs.
  • Provide problem resolution to members to support the sales retention efforts.
  • Maintain records of customer interactions, record inquiry details and actions, and handle escalated issues. Refer unresolved issues to appropriate internal departments for additional research.
  • Process changes to member accounts, maintain history records. Maintain updated reference materials.
  • Perform other duties as assigned.

What you need to succeed:

• • A combination of education and related work experience
  • Two to four years' experience in a customer service environment
  • Must successfully pass Customer Service Assessments
  • Must successfully pass Medicare Certification
  • Ability to work in a fast paced call center
  • Knowledge of company products
  • Knowledge of health insurance or managed care operations
  • Bi-lingual skills
  • Knowledge or experience in working with customers
  • Flexibility to work weekends and shifts that are in the 8 a.m. to 8 p.m. time frame
  • Ability to gather and retrieve information in an organized manner
  • Excellent communication and customer relationship skills
  • Problem solving skills
  • Interpersonal skills
  • Empathy and patience
  • Ability to solve problems
  • Computer navigation skills
  • Strong written and verbal communications skills
  • Time management skills
  • Ability to collect and organize data
  • Ability to work independently and with a team
  • Ability to meet established time and quality standards
  • Ability to exercise sound judgment

The extras:

• • Ability to work in a remote fast-paced call center environment
  • Knowledge of company products
  • Knowledge of health insurance or managed care operations
  • Bi-lingual skills (i.e., Spanish or Portuguese)
  • Health Producers License

Location:
BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:

• In-office: onsite 5 days per week
• Hybrid: onsite 2-4 days per week
• Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia

Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity employer.

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