Customer Service Representative - UNION - Rancho Cordova, CA 3/25 - 61349
WellPoint - Rancho Cordova, CA

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THIS POSITION IS ELIGIBLE FOR ONLY BARGAINING UNION MEMBERS OPEIU LOCAL 29 FOR THE FIRST FIVE (5) BUSINESS DAYS 1/11/13 - 1/18/13

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.

RANCHO CORDOVA, CA.

CUSTOMER SERVICE REPRESENTATIVE - UNION

Two Positions

The Customer Service Representative - UNION:
Responds to telephone, verbal and/or written inquiries regarding claims, company offered plans, policies and/or procedures.

Ensure that questions/problems are resolved satisfactorily and that favorable relationships are maintained.

Utilizes appropriate reference materials to research information, respond to inquires and resolve problems.

Coordinate with internal and external sources as necessary to obtain information.

Prepares and/or initiates a variety correspondence and documents to respond to inquiries/problems.

Updates/manually processes/adjusts claims and/or records as appropriate.

Prepares reports and/or logs, as necessary and maintains appropriate customer services files.

May be assigned to Pre-Adjudication correction (PAC)

Job Qualifications

One (1) year experience as a Blue Cross Claims Examiner II, meeting expectations on quality, quantity and attendance OR three (3) years medical claims processing/health insurance customer service experience or equivalent education preferred.

Have a thorough knowledge of medical terminology and claims processing procedures/system.

Demonstrate effective communication and personal computer skills.

Must pass the appropriate testing including clerical filing, matching and data entry (8000 strokes per hour).

Customer service experience required.

Good people skills required.

Previous call center experience preferred.

Previous experience in the health care industry 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 www.wellpoint.com/careers . EOE
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.

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