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Lead Customer Service Representative (Correspondence/Phone) · Woodland Hills, CA
Helping make health care for Californians easy, accessible and reasonably priced is a great calling. Knowing that your company has channeled over $100 million back into California communities and will continue to do so is flat out uplifting. Join the hardest working, not-for-profit health plan in California and be part of the solution.
Responds to and resolves various customer inquiries via telephone and correspondence, and resolves claims problems within established production and quality standards. Answers incoming calls and written requests for information from members or providers promptly and accurately. Composes routine and non-routine correspondence to answer member inquiries that require a written response. Coordinates with other departments to ensure timely and appropriate responses. Expedites and resolves complex issues and makes claim adjustments. Educates others on the Blue Shield product, providing accurate information and updates to policies and procedures, improving overall customer satisfaction in the process. In the Lead role, deals with the most complex cases and issues as an individual contributor or may focus on mentoring and acting as a backup...
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