Member Services Representative

Position Description

At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.”

The Member Service Representatives (“MSRs”) are the front-line team at Capital BlueCross (“CBC”) and are responsible for handling all customer inquiries through multiple channels (i.e., phone, web, electronic, and/or face-to-face) by using material and tools with accuracy and precision. This incumbent will be responsible for effectively presenting and discussing our products and services, creating and maintaining positive relationships and for exceeding quality, productivity, and ultimate performance goals. This incumbent will be required to initially attend a training class in addition to ongoing periodic refresher trainings to service our customers as business needs permit.

Customer-Focus

Responsibilities and Qualifications

• Manage telephone, electronic, and face-to-face interactions professionally, efficiently and with excellent communication skills
• Effectively present and discuss the products and services to external and internal customers with integrity and understanding and accuracy with every interaction
• Focus on customer retention through first call resolution of concerns
• Establish and maintain positive relationships with customers on behalf of the company by taking personal and complete responsibility for each customer interaction
• Ensure all customers’ needs are completely met, timely, without elevation if possible
• If business needs permit, support the efforts of CBC sales representatives by conducting onsite and/or community-based educational meetings
  
  

Performance Standards, Business Metrics And Process Improvements

• Large emphasis on quality, productivity, adherence, handle time, and not negatively affective and jeopardizing CBC customer relations, internally and externally
• Complete ongoing training to stay abreast of products, services and policy changes
• Improve quality of work on a daily basis by learning and employing new skills or adapting pervious processes to mirror the fit-for-excellence company culture
• Recognize, document, and alert supervisors of trends in customer calls
  
  

Conduct self in a manner consistent with the values of the organization

About Us

We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a diverse and caring team of supportive colleagues, and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career.

And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live.

Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association. We are an equal opportunity/affirmative action employer and do not discriminate on the basis of race, color, religion, national origin, gender, sexual orientation, gender identity, age, genetic information, physical or mental disability, veteran status, or marital status, or any other status protected by applicable law.