Job Information
Blue Cross Blue Shield of Kansas Medicare Advantage Customer Experience Representative in Topeka, Kansas
This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/13184751
The customer experience representative provides a world class customer service experience through resolution of complex customer inquiries from members, providers, internal customers, and other Blue Plans related to Medicare Advantage (MA).
This position is eligible to work onsite or remote in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment. This role includes hours that can range from 8:00 a.m. to 8:00 p.m. and can include weekend hours from October 1 through March 31.
This position will have a start date of approximately May 12, 2025.
Why Join Us?
- Family Comes First: Total rewards package that promotes the idea of family first for all employees; including paid time off and family first leave.
- Professional Growth Opportunities: Advance your career with ongoing training and development programs both through our internal Blue University and external opportunities.
- Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.
- Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
- Stability: 80 years of commitment, compassion, and community
- Lead and Inspire: Guide and mentor your team to achieve their full potential and success.
- Balance: paid vacation and sick leave with paid maternity and paternity available immediately upon hire
- Real World Experience: You will work hand in hand with our team in learning our business and applying your classroom learning.
- Networking Opportunities: Participate in our corporate intern program and network with other interns at BCBSKS to enhance your learning opportunity.
What youll do
Responsibilities:
- Research, resolve, and respond to inquiries and correspondence via telephone, written, and email communication. Inquiries may be regarding benefits, eligibility, coverage and plan changes, payments, claims, prior authorizations, appeals, and grievances.
- Resolve customer inquiries and grievances in a timely and accurate manner according to company and regulatory requirements.
- Work with peers, other departments, and leadership to find appropriate solutions to problems.
- May serve as a backup in processing MA member, member representative, or provider appeals and grievances.
Perform assigned job-related duties as required, including any special projects.