Customer Service Rep - Work at Home

Fully Remote Location: Work at Home At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve. Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there’s no greater time for forward-thinking professionals like you to join us in delivering on it! As a member of Team Blue, you’ll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community. Candidates applying to this position may be hybrid or remote and can live in one of the following states: Florida, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and Texas. This role is responsible for executing essential functions that support the Claims Department. This individual with work closely with internal and external customers to investigate, examine & resolve a variety of claims related tasks, escalating complex situations to higher level. Effective communication & a comprehensive understanding of industry guidelines, as well as state & federal insurance claim regulations is key. The individual will also navigate through various Claims systems to complete daily tasks. What you'll do: • Ability to investigate & resolve claims inquiries. • Records information into Claims systems to ensure proper documentation. • Demonstrates an understanding of applicable federal, state, & industry laws & helps ensure compliance with regulations. • Responds to inquires from internal & external customer via various means of communication. • Ability to effectively communicate with cross-functional teams & external customers. • Ability to navigate through various Claims systems. • Participates in projects, as assigned. To be considered for this position, you must have: • High School Diploma + 2 years' experience. Learn more about what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers. We strongly believe that diversity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members. Apply tot his job Apply To this Job