Customer Care Representative I-III - Richmond, VA - 6/17 - 68183
WellPoint 1,538 reviews - Richmond, VA

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WellPoint is one of the nations leading health benefits companies and a Fortune Top 50 company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to simplify the connection between health, care, and value for our customers.

Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.

The Customer Care Representative I-III:
Successfully completed the required basic training, able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues.

Must pass the appropriate pre-employment test battery.

Primary duties may include, but are not limited to:
Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.

Analyzes problems and provides information/solutions.

Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database.

Thoroughly documents inquiry outcomes for accurate tracking and analysis.

Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

Researches and analyzes data to address operational challenges and customer service issues.

Provides external and internal customers with requested information.

Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature.

Uses computerized systems for tracking, information gathering and troubleshooting.

Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims.

Seeks, understands and responds to the needs and expectations of internal and external customers.

Required to meet department goals.

Job Qualifications

Requires a HS diploma or GED: 1 to 3 years of WellPoint experience in an automated customer service environment; or any combination of education and experience, which would provide an equivalent background.

HMO, PPO, or Lumenos enrollment and billing experience required

Claims and benefits experience preferred

Call center experience preferred

WellPoint is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, and is a 2012 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at
Once an offer is accepted, all external applicants are subject to a background investigation
and if appropriate, drug testing. Offers of employment shall be contingent upon
passing both the background investigation and drug testing (if required).

  • Current WellPoint associates: All referrals must be submitted through the formal
associate referral process on WorkNet. Official guidelines for the associate referral
program can be found in My HR.

  • WARNING : Please beware of phishing scams that promote work-at-home opportunities and may also pose as legitimate companies. Please be advised that a WellPoint recruiter will never ask you for a credit card or any type of payment as part of consideration for a role with our company. All of our careers require that you first complete an online application on our wellpoint.com/careers web site.
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About this company
1,538 reviews
It’s a powerful combination. It’s the foundation upon which we’re creating greater care for our members, greater value for our customers,...