Medicare Advantage Customer Service Representative - Work From Home in Nebraska

At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve.

Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there's no greater time for forward-thinking professionals like you to join us in delivering on it! As a member of Team Blue, you'll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community.

As a Customer Service Representative, you are responsible for handling incoming phone calls and being the primary customer interface for inquiries. Our service representatives inform and educate as well as serve as member advocate, building trust in our abilities and being the voice of the customer. By using established best practices, attending ongoing training and utilizing resources and tools you will serve as the expert to help navigate through the challenging world of insurance. Our representatives must be talented dedicated people who possess a passion for providing best in class service and want to make a difference in the lives of our member. This position is dedicated to Medicare Advantage accounts.

Location: Work from home anywhere in the State of Nebraska or local Omaha metro area (Council Bluffs, Glenwood, etc)*

*Applicants for this position must reside within the state of Nebraska or local Omaha metro area at the time of application.

Status: Full-Time (40 hours per week)

Work Schedule: Your work schedule will require flexibility, with the potential for any 8.5-hour shift between 8 a.m. and 9 p.m. (Central Time Zone), Monday through Sunday. Shifts will change, so adaptability is key. (Shift differential for weekend and evening hours worked)

Hours: Oct 1 - March 31st, 8am - 9pm: (Monday - Sunday)

Hours: Apr 1 - Sept 30th, 8am - 9pm (Monday - Friday)

Holidays required to work include Martin Luther King Day, New Years Day and The Friday after Thanksgiving

TrainingSchedule a 5-week virtual training program that includes hands-on activities, self-led learning modules, assessments, and worksheets. During training, no time can be missed.

Required: Reliable internet service provider as well as dedicated, distraction free workplace

What you'll do:

• Interfaces with Medicare Advantage customers via telephone, written correspondence, fax, web, and/or electronic mail.

• Research customer information utilizing appropriate systems, policies, regulations, procedures, and other reference materials to effectively respond to and resolve customer issues.

• Elevates sensitive customer requests when necessary.

• Comply with State and Federal regulations and mandates, which are continually changing, thus creating a very dynamic environment, candidate is responsible to take initiative to stay current on policies and procedures required to support the customer and to ensure compliance.

• Accountable to remain current on knowledge of diverse products and proactively recommend items needed by customers to increase customer satisfaction and improve transaction profitability.

To be considered for this position, you must have:

• High School Diploma or equivalent and three years of experience in a complaint type customer service office setting (health insurance or related field preferred).

• Availability for training 5 weeks in length.

An equivalent combination of education and experience may be substituted for this requirement.

The ability to meet or exceed the attendance and timeliness requirements of their departments.

The ability to work well in a team environment and be capable of building and maintaining positive relationships with other staff, departments, and customers.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.

The strongest candidates for this position will also possess:

Learn more about what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers.

We strongly believe that diversity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members.