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Customer Care Representative II
Customer Care Representative IINorth Carolina Staffing • Winston Salem, NC, US
Customer Care Representative II

Customer Care Representative II

North Carolina Staffing • Winston Salem, NC, US
2 days ago
Job type
  • Full-time
Job description

Customer Care Representative II

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. Work Schedule : Monday - Friday 8 : 30am - 5 : 00pm EST.

The Customer Care Representative II 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 You Will 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.
  • Provides external and internal customers with requested information.
  • Receives and places follow-up telephone calls / e-mails to answer customer questions.
  • 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.
  • Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers.
  • Additional expectations to include but not limited to : Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions; attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.
  • Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs.
  • Performs other duties as assigned.

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.
  • Preferred Skills, Capabilities & Experiences :

  • High volume call center experience highly preferred.
  • Experience taking inbound calls, texts and chats.
  • Behavioral health and / or managed care experience preferred.
  • Proficiency in typing with speed and accuracy is preferred.
  • 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.
  • Location : Columbus, OH

    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.

    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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    Customer Care Representative Ii • Winston Salem, NC, US

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