Customer Care Representative II - Outbound Call Center Operations - Insurance Benefits and Pharmacy Delivery Support

Join the Elevance Health Family: Delivering Exceptional Customer Care in Insurance Benefits and Pharmacy Delivery

Are you a motivated and customer-focused professional looking for a rewarding career in a dynamic and growth-oriented company? Elevance Health, a leading health company, is seeking a talented Customer Care Representative II to join our team in an outbound call center setting. As a key member of our CarelonRx family, you will have the opportunity to make a positive impact on the lives of our customers by providing personalized support and guidance on insurance benefits and pharmacy delivery.

About Elevance Health and CarelonRx

At Elevance Health, we are dedicated to improving lives and communities by making healthcare simpler. Our company is built on a strong foundation of compassion, innovation, and customer-centricity. As a part of the Elevance Health family of companies, CarelonRx leverages the power of new technologies and a clinical-first approach to deliver member-centered, lasting pharmacy care. Our mission is to provide high-quality, accessible, and affordable healthcare solutions that exceed our customers' expectations.

Job Summary

We are seeking a highly skilled and experienced Customer Care Representative II to join our outbound call center team. As a Customer Care Representative II, you will be responsible for making outbound calls to internal and external customers to provide assistance with insurance benefits, provider contracts, eligibility, and claims. You will also respond to customer inquiries via telephone and written correspondence, ensuring that our customers receive the support they need to navigate the complexities of healthcare.

Key Responsibilities

• Initiating Outbound Calls: Make outbound calls to internal and external customers to provide assistance with insurance benefits, provider contracts, eligibility, and claims.
• Problem Analysis and Resolution: Analyze problems and provide information and solutions to customers.
• Data Management: Operate a PC/image station to obtain and extract information; document information, activities, and changes in the database.
• Customer Relationship Building: Develop and maintain positive customer relations and coordinate with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
• Data Analysis and Research: Research and analyze data to address operational challenges and customer service issues.
• Customer Service Functions: Provide external and internal customers with requested information and be proficient in all basic customer service functions.
• Follow-up Communications: Receive and place follow-up telephone calls and emails to answer customer questions.
• Customer Needs and Expectations: Seek, understand, and respond to the needs and expectations of internal and external customers.

Requirements and Qualifications

Minimum Requirements

• Education: High school diploma or equivalent required.
• Experience: A minimum of 1 year of experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Contributions, and Experience

• Professional Competencies: For URAC accredited areas, associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
• Customer Service Experience: Previous experience in a customer service environment, preferably in the healthcare or insurance industry.
• Technical Skills: Proficiency in computer applications, including database management and customer relationship management (CRM) software.

What We Offer

At Elevance Health, we are committed to providing our employees with a supportive and inclusive work environment that fosters growth and development. Here are just a few of the benefits and perks we offer:

• Competitive Compensation: We offer a competitive salary and benefits package, including a $500 sign-on bonus.
• Remote Work Opportunity: This position can be worked remotely, with the ideal candidate living within 50 miles of our Elevance Health location in St. Louis, MO; Atlanta, GA; or Richmond, VA.
• Flexible Work Schedule: Monday - Friday, with weekends off; 8.5 hour shift, with varying start times depending on the time zone.
• Career Growth Opportunities: We offer opportunities for professional growth and development, including training and education programs.
• Learning Benefits: We provide access to learning resources and training programs to help you develop new skills and stay up-to-date on industry trends.
• Company Culture: Our company culture is built on a foundation of compassion, innovation, and customer-centricity.

Why Join Our Team?

If you are a motivated and customer-focused professional looking for a rewarding career in a dynamic and growth-oriented company, we encourage you to apply for this exciting opportunity. At Elevance Health, we are committed to making a positive impact on the lives of our customers and communities. By joining our team, you will have the opportunity to:

• Make a Difference: Make a positive impact on the lives of our customers and communities.
• Grow and Develop: Grow and develop your skills and career in a supportive and inclusive work environment.
• Be Part of a Team: Be part of a team that is passionate about delivering exceptional customer care and making healthcare simpler.

How to Apply

If you are excited about this opportunity and believe you have the skills and qualifications to succeed in this role, we encourage you to apply. Please submit your application, including your resume and cover letter, to be considered for this position.

We are an equal opportunity employer and welcome applications from diverse candidates. We are committed to providing a work environment that is inclusive and respectful of all employees.