Customer Service Rep I - MA Servicing (Detroit) C-S-R

Customer Service Rep I

Full-time Shift : 8 : 00 am to 5 : 00 pm (Shift bidding process based on seniority) Detroit, MI

Assessment required- Customer Service Rep

Blue Cross Blue Shield of Michigan is looking for outgoing, energetic, phone friendly individuals to work in a fast-pace call center environment. Customer Service Reps analyze, evaluate, resolve and primarily respond to low complexity level membership issues under various product lines.

• Primarily conducts low complexity internal and external research to determine and request the data needed to handle inquiries regarding membership.
• Analyze and service various product lines in the area (i.e., Facility, Professional). Provide responses by telephone, check-off letters, and / or automated letters.
• Follow department / corporate reporting requirements (i.e., PCRS, ICS, Special Surveys and Manual counts).
• Organize work to meet National / Corporate / Department Production and Quality Standards.
• Reroute misdirected inquiries.
• Primarily evaluates membership issues / inquiries and price / adjudicates low complexity claims / inquiries.
• Interact with others inside and outside the organization to resolve the inquiry / claim related problems.
• Influence customers to accept the reasonableness of decisions and actions.

Qualifications :