Customer Service Representative - Highmark Inc. - Remote

Overview

The Customer Service Representative at Highmark Inc. provides quality service in a high-volume contact center, handling inquiries from various stakeholders and processing claims efficiently.

In Short

• Responds to inquiries from subscribers, members, providers, and internal customers.
• Processes and adjusts claims for all lines of business.
• Communicates with customers via phone, email, and chat.
• Handles high-volume incoming and outbound calls.
• Researches claim benefits and eligibility.
• Maintains confidentiality and adheres to HIPAA regulations.
• Identifies potential fraud cases and escalates them.
• Builds and updates files in corporate systems.
• Delivers customer service in a professional manner.
• Performs clerical duties as needed.

Requirements

• High school diploma or GED required.
• One year of customer service experience in a contact center.
• Proficiency in claims processing or membership processing preferred.
• Strong communication skills required.
• Ability to handle high-volume inquiries effectively.
• Experience with healthcare-related services is a plus.
• Problem-solving skills and attention to detail are essential.
• Familiarity with HIPAA regulations is mandatory.
• Ability to work efficiently and accurately under pressure.
• Must reside in specified counties in New York.

Benefits

• Competitive hourly wage of $21.71.
• Opportunities for career growth and advancement.
• Comprehensive health benefits package.
• Supportive work environment with a focus on employee well-being.
• Access to training and development resources.
• Flexible work arrangements available.
• Employee assistance programs for personal and professional support.
• Participation in a collective bargaining agreement.
• Commitment to diversity and inclusion in the workplace.
• Access to a wide range of health-related services.