As a Customer Service professional at Elevance Health, you will be the front‑line liaison ensuring members receive prompt, accurate, and compassionate assistance. You will engage with a diverse clientele, addressing inquiries, resolving concerns, and guiding them through complex health plan details. Working in a collaborative, fast‑paced environment, you will partner closely with cross‑functional teams—including claims, enrollment, and IT—to streamline processes and enhance the member experience. Continuous learning is encouraged, with access to comprehensive training programs and industry certifications that deepen your expertise in healthcare services. Your contributions will directly influence member satisfaction, uphold the organization’s commitment to quality care, and drive measurable improvements in service delivery across the company.

Requirements:

• Minimum 1 year of experience in a customer‑focused role, preferably within health insurance or related services.
• Proficiency with CRM platforms (e.g., Salesforce, Zendesk) and Microsoft Office Suite.
• Strong communication skills, both verbal and written, with the ability to convey complex information clearly.
• Demonstrated problem‑solving abilities, empathy, and a commitment to delivering high‑quality service.

Roles and Responsibilities:

• Respond to member inquiries via phone, email, and chat, providing accurate information on benefits, coverage, and claims.
• Investigate and resolve service issues, escalating complex cases to appropriate departments while ensuring timely follow‑up.
• Document interactions in the CRM system, maintaining detailed records for compliance and reporting purposes.
• Collaborate with underwriting, billing, and IT teams to address systemic issues and improve overall service processes.
• Participate in ongoing training sessions and workshops to stay current with policy updates and industry best practices.
• Contribute to the development of knowledge base articles and FAQs to empower members and reduce repeat inquiries.

Budget:

• Job Type: payroll
• Salary Type: per year
• Maximum Budget: $80,000 USD
• Experience Range: 1–30 years