Job Information
Blue Cross and Blue Shield of Louisiana Medicare Member Retention Representative in Monroe, Louisiana
We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.
Residency in or relocation to Louisiana is preferred for all positions.
Grade 02
POSITION PURPOSE
The Medicare Member Retention Representative is responsible for identifying potential problems or issues through daily outbound retention calls to Medicare members. In addition to working daily call reports, the Retention Representative is also responsible for working return mail for all lines of business each morning from 8AM-9AM.
NATURE AND SCOPE
This role does not manage people
This role reports to these jobs: Director of Member Services and Member Services Supervisor
QUALIFICATIONS
Education
- High school diploma or equivalent
Work Experience
- Experience in corporate office setting preferred
Skills and Abilities
Customer service-driven with excellent phone etiquette
Proficient in Microsoft Office Suite (Excel, Word, Power Point, etc.)
Ability to type minimum of 40 WPM preferred
Highly organized and efficient with strong attention to detail
Ability to multitask and prioritize in a fast-paced, ever-evolving environment
Excellent verbal and written communication skills
Ability to make simple calculations
Ability to interact effectively with all levels of staff
Licenses and Certifications
- None required.
ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS
Conduct a minimum of 50 daily outbound courtesy calls to ensure Medicare members understand their plan and assist with any questions or concerns they may have
Research and identify any current, recent, and/or potential issues to personalize each call
Answer basic inquiries and perform minor research in response to member questions
Escalate calls requiring additional assistance from Member Services as appropriate for appeals, coverage determinations, etc.
Identify any concerns of non-compliance from internal BCBSLA sales staff or BCBSLA Brokers that would require a compliance review and investigation based upon information given by a member while on a call
Identify and document grievances appropriately and accurately
Work return mail for all lines of business during the 8-9 hour daily to determine if mail should be delivered to a new address
Assist Enrollment Production when necessary
May fill in for Member Services Receptionist at times
Assist with event reservations in the Business Development queue as needed
Additional Accountabilities and Essential Functions
The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions
Perform other job-related duties as assigned, within your scope of responsibilities.
Job duties are performed in a normal and clean office environment with normal noise levels.
Work is predominately done while standing or sitting.
The ability to comprehend, document, calculate, visualize, and analyze are required.
Occasional travel required
#LI_CB
An Equal Opportunity Employer
All BCBSLA EMPLOYEES please apply through Workday Careers.
PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)
Additional Information
Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.
If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.
In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.
Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.
Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.
JOB CATEGORY: Insurance