Lead Center Specialist (Boone, NC)

Boone

Full time

RQ0019079

Job Description

What You'll Do

• Successfullyutilizesadded and specialized knowledge of product types, functional and/or technical skills to provide the highest level of solution focused,end to endservice to our customers onhighly complexinsurance questions and issues.

• Utilize probing and creative problem solving as well as critical thinking skills and the ability to analyze more complex and ambiguous information to resolve all customer inquiries on first contact.

• Successfully able to understand and communicate complicated and multifaceted concepts to members,providersand colleagues in verbal and written form.

• Recognize patterns of inconsistent and/or inaccurate claims filing practices among customers and providers, educate customers and providers on acceptable Blue Cross NC practices and policies.

• Responsible for sales of IU-65, Medicare, Small Group and Ancillary products; analyzes the needs of individual customers, educates them on sales options and recommends products to meet those needs.

• Build and maintain effective relationships with Individual customers to meet sales and retention goals.

• Identify,understandandanticipatecustomers’ unexpressed needs and concerns in a caring manner.

• Ensures final disposition of each inquiryin a timely mannerwhile systematically documenting detailed customer information relevant to eachcustomercontact. Provides instructions as needed to internal business areas to ensure prompt resolution and response to customer inquiries.

• Educate and encourage customersonuse ofalternative delivery channels (i.e.self service, web).

• Support and be committed to the mission,visionand values of the company by delivering seamless,energeticand innovative service and sales solutions to increase stakeholder satisfaction,retaincustomers andimpactsales goals.

• Identifyand communicate process,productor systems improvement opportunities to improve the overall stakeholder experience.

• RepresentsBlue Cross NC at community events, in and around the retail center location. Events may be after hours or on weekends.

• Displays leadership byassistingwith training needs of less experienced team members.

• Keep abreast of market trends, activities and products of competitors and the economy.

• Work collaboratively with Sales, Healthcare and Network Management partners to further optimize customer, employer group and provider relations by identifying opportunities to promote stakeholder programs. Promote programs, making sound decisions to apply the mostappropriate “stakeholder centric” course of action to respond to needs.

• Assistwith escalation concerns where appropriate

• Confer with liaisons and points ofcontactsin other areas to address escalation and/or member/potential member concerns to resolution.

• Ability to assign and confirm completion of appointments and necessary tasks in Center space as needed.

What You Have

• High school diploma or GED

• 7+ years of experience in related field

• Team members must have or obtain an active Health & Accident and Medicare Supplement license.

• Note: Licenses must be obtained within two pre-licensure classattemptsand thesubsequentfive state examattemptsor90 dayperiod following each class, whichever comes first.

This role is onsite at our Boone Neighborhood Center

What You’ll Get

• The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community

• Work-life balance, flexibility, and the autonomy to do great work

• Medical, dental, and vision coverage along with numerous health and wellness programs

• Parental leave and support plus adoption and surrogacy assistance

• Career development programs and tuition reimbursement for continued education

• 401k match including an annual company contribution

• Learn more (https://careers.bluecrossnc.com/global/en/benefits)

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$55,370.00 - $88,592.00

Skills

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JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: [email protected] .

About Us

It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.

Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.

Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.

Authorization to Work in the United States

We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview (https://www.e-verify.gov/employees/e-verify-overview) for English or Visión General de E-Verify (https://www.e-verify.gov/es/empleados/vision-general-de-e-verify) for Español.

Request Accommodations

Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application, hiring process, or have technical issues that prevent you from completing your application please notify HR at [email protected] .

Blue Cross NC is a Hybrid Flex company. Whether the role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any of our approved states:

Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming