Blue Cross & Blue Shield of Rhode Island hiring Medicare Broker & Sales Support Agent in Providence, Rhode Island, United States | LinkedIn (2024)

Please email hr_business_partners@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process.

Schedule: Hybrid Compensation: $50,500 - $65,700 Jump into the new world of health insurance: At Blue Cross & Blue Shield of Rhode Island (BCBSRI), our business is healthcare. But our focus is on improving lives. Be part of a team that is large enough to make a difference but small enough to be innovative. Work in a rapidly changing field. Take a chance to be creative. Move outside the status quo. Shape new ideas with the power of a national brand behind you.

Join others who know diversity is strength: We appreciate and celebrate everything that makes us unique: age, national origin, citizenship status, perspectives, experiences, physical or mental disability, military status, race, ethnicity, religion, gender, sexual orientation, gender identity and/or expression. Our diversity strengthens us as an organization and helps us better serve an increasingly diverse Rhode Island population.

Why this job matters: Serve as an advocate and support for brokers and sales agents. Provide customer service related to Medicare & Medicaid benefits, eligibility, products and services, network, and policies to brokers and sales agents. Identify problems affecting brokers and sales agents and notify the appropriate business area to resolve issues and track resolution

What you will do:

• Respond to broker and sales agents calls and inquiries. Educate brokers and sales agents and clearly respond to inquiries concerning products, benefits and eligibility, application statuses, or billing.
• Build and maintain positive relationships with brokers, retail and sales gents.
• Assist with retention initiatives and projects. Ensure compliance in all aspects of activities with internal policies as well as all regulatory agencies.
• Provide problem resolution to Brokers and Sales agents to support the sales retention efforts.
• Maintain records of interactions, record inquiry details and actions, and handle escalated issues. Refer unresolved issues to appropriate internal departments for additional research.
• Process changes to member accounts, maintain history records. Maintain updated reference materials.
• Perform other duties as assigned.

What you need to succeed:

• A combination of education and related work experience
• Must successfully pass Customer Service Assessments
• Must successfully pass Medicare Certification
• Valid Driver’s License
• Knowledge of Centers for Medicare & Medicaid Services (CMS) guidance as it pertains to sales and marketing activities and compliance
• Knowledge of health insurance or managed care operations
• Well-developed written and verbal communications skills
• Ability to gather and retrieve information in an organized manner
• Ability to work in a fast paced call center
• Problem solving skills
• Ability to take initiative in finding solutions to difficult and/or sensitive problems
• Ability to research data, identify trends and recommend appropriate actions
• Detail oriented
• Ability to work successfully in a matrix environment
• Ability to exercise sound judgment
• Ability to establish and maintain strong working relationships with various stakeholders
• Ability to organize work efficiently to meet established time and quality standards
• Good organization skills
• Good time management skills
• Proficiency with Microsoft Suite of products; i.e., Word, Excel, PPT, etc

The extras:

• Four or more years experience in a customer service environment
• Associate’s degree
• Bi-lingual skills
• RI Producers License
• Proficiency with Microsoft Suite of products; i.e., Word, Excel, PPT, etc

Location: BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:

• In-office: onsite 5 days per week
• Hybrid: onsite 2-4 days per week
• Remote: onsite 0-1 days per week*.
• Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Florida, Georgia, Louisiana, North Carolina, Oklahoma, South Carolina, Texas, Rhode Island, Massachusetts, Connecticut and Virginia

At Blue Cross & Blue Shield of Rhode Island (BCBSRI), diversity and inclusion are central to our core values and strengthen our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity, affirmative action employer. We provide equal opportunities without regard to race, color, religion, gender, age, national origin, disability, veteran status, sexual orientation, genetic information and gender identity or expression.

The law requires an employer to post notices describing the Federal laws prohibiting job discrimination based on race, color, sex, national origin, religion, age, equal pay, disability, veteran status, sexual orientation, and genetic information and gender identity or expression. Please visit https://www.eeoc.gov/employers/eeo-law-poster to view the "EEO is the Law" poster.

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