Customer Service Representative I

Job Summary The Customer Service Representative (CSR) ensures final resolution of each customer inquiry in a timely and courteous manner while documenting detailed information relevant to the contact. Resolution may require system research and/or contacting experts in other areas of the company. Although some encounters may require multiple interactions, the CSR strives for the company goal of "first time resolution" whenever possible.

Minimum two (2) years' experience in a specialized customer service environment. OR two (2) years' college coursework (at least 48 credit hours) plus one (1) year experience in a specialized customer service environment.

Skills - Active Listening - Computer Literacy - Critical Thinking - Customer Service - Documentations - Evaluating Information - Oral Communications - Organizing - Problem Solving - Researching - Results Interpretation - Time Management - Written Communication

Responsibilities - Communication: Communicates in a clear and concise manner (whether orally or in writing) using business English, correct grammar, and precise vocabulary; learns to make complex insurance topics accessible to a wide audience and explain benefits without resorting to jargon; develops the ability to listen, comprehend what is being said, and ask appropriate questions that help lead to issue resolution; and keeps accurate and complete electronic notes of conversations in the appropriate software systems. - Customer Service: Interacts directly with customers, which may include members, groups, and providers to resolve issues related to the products and services and health insurance plans offered by ABCBS and its family of companies; and completes interactions based on company standards and directives as well as within state and federal guidelines such as the privacy rules enumerated in HIPAA guidelines. - Other

duties: As assigned - Problem-Solving/Complaint Resolution: Always conducts him/herself in a positive and professional manner, addressing others with politeness, etiquette, and tact; handles confrontational situations with empathy but also in such a manner as to reach fact-based objective conclusions and resolve; and gains conclusive agreement through negotiation. - Product Knowledge and System Know-How: Becomes an expert on benefits and eligibility for health insurance plans supported by multiple lines of business, as requested; and knows where and how to find information pertinent to providing superior customer service.