Member Services Representative

Member / Provider Services Representative

The Member / Provider Services Representatives ("MSRs" / "PSRs") are the front-line team at Capital BlueCross ("CBC") and are responsible for handling all customer inquiries through multiple channels (i.e., phone, web, electronic, and / or face-to-face) by using resources, materials and tools with accuracy and precision. This incumbent will be responsible for effectively presenting and discussing our products and services, creating and maintaining positive relationships and for exceeding quality, productivity, and ultimate performance goals. This incumbent will be required to initially attend an extensive training class in addition to ongoing periodic refresher trainings to service our customers (i.e. members / providers / group leaders) as business needs permit.

Responsibilities and Qualifications

Member-Focus :

• Manage telephone, electronic, and face-to-face interactions professionally, efficiently and with excellent communication skills
• Effectively present and discuss the products and services to external and internal customers with integrity and understanding and accuracy with every interaction
• Focus on customer retention through first call resolution of concerns and enhancement of the member experience
• Establish and maintain positive relationships with customers on behalf of the company by taking personal and complete responsibility for each customer interaction
• Ensure all customers' needs are completely met, timely, without elevation if possible
• If business needs permit, support the efforts of CBC sales representatives by conducting onsite and / or community-based educational meetings
• Performance standards, business metrics and process improvements
• Large emphasis on quality, productivity, adherence to schedules, handle time, and not negatively affective and jeopardizing CBC customer relations, internally and externally
• Adaptability to use of soft skills and call strategies.
• Complete ongoing training to stay abreast of products, services and policy changes
• Improve quality of work on a daily basis by learning and employing new skills or adapting previous processes to mirror the fit-for-excellence company culture
• Recognize, document, and alert supervisors of trends in customer calls
• Conduct self in a manner consistent with the values of the organization

Skills :

Knowledge :

Experience :

Education and Certifications :

Work Environment :

Physical Demands :

While performing the duties of the job, the employee is frequently required to sit, use hands and fingers, talk, hear, and see. The employee must be able to work over 40 hours per week. The employee must occasionally lift and / or move up to 5 pounds.

About Us

We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a caring team of supportive colleagues and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career. And by doing your best, you'll help us live our mission of improving the health and well-being of our members and the communities in which they live.