Lead Center Specialist-Raleigh

Job Description

What You'll Do

• Successfully utilizes added and specialized knowledge of product types, functional and/or technical skills to provide the highest level of solution focused, end to end service to our customers on highly complex insurance questions and issues.

• Utilize probing and creative problem solving as well as critical thinking skills and the ability to analyze more complex and ambiguous information to resolve all customer inquiries on first contact. 

• Successfully able to understand and communicate complicated and multifaceted concepts to members, providers and colleagues in verbal and written form.

• Recognize patterns of inconsistent and/or inaccurate claims filing practices among customers and providers, educate customers and providers on acceptable Blue Cross NC practices and policies.

• Responsible for sales of IU-65, Medicare, Small Group and Ancillary products; analyzes the needs of individual customers, educates them on sales options and recommends products to meet those needs.

• Build and maintain effective relationships with Individual customers to meet sales and retention goals.

• Identify, understand and anticipate customers’ unexpressed needs and concerns in a caring manner.

• Ensures final disposition of each inquiry in a timely manner while systematically documenting detailed customer information relevant to each customer contact.  Provides instructions as needed to internal business areas to ensure prompt resolution and response to customer inquiries.

• Educate and encourage customers on use of alternative delivery channels (i.e. self service, web).

• Support and be committed to the mission, vision and values of the company by delivering seamless, energetic and innovative service and sales solutions to increase stakeholder satisfaction, retain customers and impact sales goals.

• Identify and communicate process, product or systems improvement opportunities to improve the overall stakeholder experience.

• Represents Blue Cross NC at community events, in and around the retail center location. Events may be after hours or on weekends.

• Displays leadership by assisting with training needs of less experienced team members.

• Keep abreast of market trends, activities and products of competitors and the economy.

• Work collaboratively with Sales, Healthcare and Network Management partners to further optimize customer, employer group and provider relations by identifying opportunities to promote stakeholder programs.  Promote programs, making sound decisions to apply the most appropriate “stakeholder centric” course of action to respond to needs.

• Assist with escalation concerns where appropriate

• Confer with liaisons and points of contacts in other areas to address escalation and/or member/potential member concerns to resolution.

• Ability to assign and confirm completion of appointments and necessary tasks in Center space as needed.

What You Have

• High school diploma or GED

• 7+ years of experience in related field

• Team members must have or obtain an active Health & Accident and Medicare Supplement license.

• Note: Licenses must be obtained within two pre-licensure class attempts and the subsequent five state exam attempts or 90 day period following each class, whichever comes first.

**This role is onsite at our Raleigh Neighborhood Center**

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets,  licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. 

*Based on annual corporate goal achievement and individual performance.
 

Skills

_____________________________________________________________________

JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.