Lead Center Specialist (Boone, NC)

Job Description

What You'll Do

- Successfully   utilizes   added and specialized knowledge of product types, functional and/or technical skills to provide the highest level of solution focused,   end to end   service to our customers on   highly complex   insurance 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,   providers   and 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 n eeds.
- Build and maintain effective relationships with Individual customers to meet sales and retention goals.
- Identify ,   understand   and   anticipate   customers’ unexpressed needs and concerns in a caring manner.
- Ensures final disposition of each inquiry   in a timely manner   while systematically documenting detailed customer information relevant to each   customer   contact .    Provides instructions as needed to internal business areas to ensure prompt resolution and response to customer inquiries.
- Educate and encourage customers   on   use of   alternative delivery channels ( i.e.   self service , web).
- Support and be committed to the mission,   vision   and values of the company by delivering seamless,   energetic   and innovative service and sales solutions to increase stakeholder satisfaction,   retain   customers and   impact   sales goals.
- Identify   and communicate process,   product   or systems improvement opportunities to improve the overall stakeholder experience.
- Represents   Blue Cross NC at community events, in and around the retail center location. Events may be after hours or on weekends.
- Displays leadership by   assisting   with 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 most   appropriate “ stakeholder centric” course of action to respond to needs.
- Assist   with escalation concerns where appropriate
- Confer with liaisons and points of   contacts   in 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 class   attempts   and the   subsequent   five state exam   attempts   or   90 day   period 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

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

_____________________________________________________________________

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] .