BlueCross BlueShield of Tennessee Customer Service Trainee - PIO (Multiple Positions) in Chattanooga, Tennessee

The position is accountable to resolve customer service inquiries from Internal and External customers in a timely manner. This position is also responsible for accurately documenting each inquiry into system using the format designed for the specified area. The incumbent is responsible for taking appropriate action to resolve caller’s inquiry. In addition, this position generates daily reports and is responsible for other duties assigned by the supervisor. The incumbent must educate the caller beyond their initial question to fully take advantage of benefits, prevent adverse impact and resolve on first contact. This position can progress to Customer Service Expert (5014) based on competencies.

Job Description:

Job Duties & Responsibilities

  • Professionally handle incoming telephone calls from Internal and External customers
  • Take appropriate action to resolve the question or complaint timely and accurately
  • Enter telephone inquiry report of contact into customer service intake screen
  • Maintain telephone performance goals established by the specified division
  • Maintain acceptable MTM quality accuracy based on division guidelines
  • Manage personal route list daily
  • Provide the same high quality service to “walk-in” inquiries that is provided for telephone inquiries
  • Work with all departments in the division or company to resolve customer service inquiry issues
  • Attend available training sessions to further enhance skills
  • The ability to talk while keying is essential
  • Ensure timely and accurate completion of daily/weekly telephone reports
  • Stay up-to-date regarding online resources, such as Online Help, BlueAlert, Medical Policy, and all other electronic resource changes when applicable
  • Keep abreast of changing divisional guidelines and government regulations.
  • Research and determine cause of problem and effect of resolution
  • Effectively educate caller on available web tools
  • Perform miscellaneous projects as assigned
  • This position requires flexibility due to rotations in schedules and requires adherence to assigned schedules
  • Work overtime as required

Job Qualifications

Education

  • High School Diploma or equivalent required

Experience

  • Claims processing and/or customer service experience preferred
  • If current employee with the company, must meet minimum performance expectations

Skills/Certifications

  • Microsoft Office products knowledge desired
  • Effective oral communication and interpersonal skills
  • Good written communication skills
  • Sound decision-making and problem-solving skills
  • Exceptional organizational and time management skills
  • Must be able to key 5500 keystrokes per hour with less then 10% error rate (if applicable)
  • Testing will be required.

Job Specific Requirements:

Number of Openings Available:

0

Worker Type:

Employee

Worker Sub-Type:

Regular

Company:

BCBST is an Equal Opportunity employer (EEO), and all employees and applicants will be entitled to equal employment opportunities when employment decisions are made. BCBST will take affirmative action to recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or membership in a historically under-represented group.

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Tobacco-Free Hiring Statement

To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test. An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotineand/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six (6) months from the date of the post offer screening results.

Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree.gov or 1-800-QUIT-NOW.

About Us

As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health for over 65 years. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow.