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Customer Care Representative I-III: Behavioral Health Resource & EAP - San Diego, CA or Denver, CO (PS31447) at Anthem, Inc.

Posted in Admin - Clerical 30+ days ago.

This job brought to you by eQuest

Type: Full-Time
Location: San Diego, California

Job Description:

Anthem, Inc. is the nation's leading health benefits company serving the needs of approximately 40 million medical members nationwide.

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company

Customer Care Representative I

  1. Are you seeking a place to grow in a career? 

  2. Do you want to make a difference? 

  3. A Place where continuous learning and performance are rewarded? 

Start your career as a Customer Care Representative at Anthem.

What Does Anthem Have to Offer You?

  • Competitive Compensation

  • Quarterly incentive bonus plan based on performance.

  • Annual increases based on performance. 

  • Opportunities for overtime.

  • Special recognition awards

  • Opportunities for growth and promotion

  • Potential for promotion within 9 months.   

  • Career path opportunities. Many of our trainers, quality coaches, managers and leaders also began their careers as a Customer Service Representative.

  • Get your Bachelor’s degree paid for in full or further your education with tuition reimbursement.

  • Great benefits and perks

  • Free Onsite Fitness Facility*

  • Onsite Fresh Market or Cafeteria

  • Employee Discount Program

  • Affordable Health Insurance, Dental, Vision and Basic Life

  • 401k match to help you plan for the future

  • Paid Time Off

  • Volunteer Time Off

  • Free Parking

*only certain facilities

        As a Customer Care Representative you will guide members through their healthcare questions via customer calls and e-mails or help providers with answering questions about member plans. 

        You will be the one helping them navigate their healthcare needs by explaining their benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate. 

        You will be their guide to a better healthcare experience and ensure that they only need to call once to get the help they need.

        Primary duties may include, but are not limited to: 

        • 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. 

        • Responsible for successfully completing the required basic training.

        • Requires a HS diploma or equivalent; up to 1 year of previous experience in an automated customer service environment; or any combination of education and experience, which would provide an equivalent background.

        • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

        • Seeks, understands and responds to the needs and expectations of internal and external customers. 

        • Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims. 

        • Required to meet department goals. 

        • Responsible for successfully completing the required basic training. 

        • Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. 

        • Must pass the appropriate pre-employment assessment.

        • Ability to work any 8 hour shift between the hours of 9:00 AM - 9:00 PM Monday - Friday.

          Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.