Customer Advocate Blue Cross Blue Shield of North Dakota
07.2023
Researching and responding to telephone and electronic inquiries in remote call center environment, managing over 40 calls per day.
Initiating inquiries, logging address changes, completing duplicate or replacement identification card requests, entering provider change requests, billing inquires, conducting pharmacy and claim research, written communications and data entry
Educating and answering questions regarding member benefits and claims
Maintaining performance guidelines for Member Satisfaction, Quality, Scheduling Adherence and Productivity
Demonstrates willingness to adapt and be flexible to changes and business needs.
Handles difficult customer situations with grace and professionalism, consistently meeting first-call resolution metrics
Contacts outside providers on behalf of customers to help solve problems
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