Florida Blue is hiring full time, work from home, (Virtual, US) Bilingual Member Care Specialist.

This is a great fully remote opportunity for bilingual Customer Service Representatives who would like to have their summers off with full pay and benefits! - Florida Blue Careers

The Member Care Specialist is a key role within the organization that will serve potential, new and existing customers which include individual members, group members, business decision makers and agents.

This role will work across many systems and multiple business areas to resolve service inquiries, process transactions and adjudicate claims.

Essential Job Functions:

• Review a member’s enrollment or claims history including all debits and credits and claims detail level at the member level for a multi-year period ensuring accuracy of billing and enrollment and application of deductible and member responsibility.
• Utilize the Florida Blue Call Strategy to provide outstanding customer service and call resolution to our members; follow-up on issues to ensure resolution for customer.
• Evaluate data through questioning, probing, and reasoning for process improvements.
• Research and resolve sales and service-related inquiries for all lines of business, health and ancillary products, meeting established expectations for quality, productivity and timeliness.

Minimum Job Requirements:

• 2 years of customer service experience
• 1 year of building collaborative relationships with customers, clients, and/or peers in different teams
• Bilingual- Creole/Spanish
• Ability to resolve/respond to customer inquiries and concerns, using sound problem solving and decision-making skills in a production environment resolving simple to complex issues, see more!

Interested?

Go to https://careers.floridablue.com and submit your completed online application today for immediate employment consideration.

#workfromhome #healthcare #customerservice #fulltime #remoteusa