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Customer Care Representative II - Bilingual

Customer Care Representative II - Bilingual

KY StaffingMason, OH, US
1 day ago
Job type
  • Full-time
Job description

Customer Care Representative II - Bilingual

Location : Virtual, this role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid / virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Hours : Monday - Friday, 8 : 30 am - 5 : 00 pm PST.

The Customer Care Representative II - Bilingual is responsible for responding to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims. Proficient in all basic customer service areas performs some but not all types of moderately complex function.

How will you make an impact :

  • 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.
  • Proficient in all basic customer service functions.
  • Receives and places follow-up telephone calls / e-mails to answer customer questions.
  • Inquiries may also be on a walk-in basis.
  • May require deviation from standard practices and procedures with the assistance of a computerized system.
  • Seeks, understands and responds to the needs and expectations of internal and external customers.

Minimum Requirements :

  • Requires a HS diploma or equivalent and a minimum of 1 year of the company's experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.
  • Bilingual (Spanish) or multi-language skills required.
  • Must be able to pass a validated language test / assessment.
  • Preferred Skills, Capabilities and Qualifications :

  • For URAC accredited areas, the following professional competencies apply : Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
  • Due to the nature of the Behavioral Health Resource Center and Employee Assistance Program, candidates must display the ability to show empathy to callers and be able to focus on listening to callers' needs.
  • Previous experience with use of computers as it pertains to typing, learning new systems and ability to use some Microsoft products.
  • Candidate must be able to follow all procedures as outlined in job aids and other forms of communication.
  • Ability to work independently and are able to de-escalate callers as needed.
  • Work using PC and entering data using different programs from EAP HIP, BH HIP, Genesys Cloud, WGS, Member 360 to Microsoft Word, Outlook, Excel and other systems needed to complete requests.
  • This position is defined as remote, or work-from-home, however you may need to report into a local office periodically. For candidates working in person or virtually in the below location(s), the salary range for this specific position is $16.66 to $31.57.

    Locations : California, Colorado, Illinois, Maryland, Massachusetts, Minnesota, Nevada, New Jersey, New York, Washington State

    In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

    The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

    Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

    The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient / member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation.

    Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

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    Bilingual Customer Care Representative • Mason, OH, US