Located in Visalia, CA
Pay: 19.00-20.00
Job Full Description
Customer Service Representative I – Full Time
Location: Visalia, CA Schedule: Monday–Friday, 8:00 AM–5:00 PM Employment Type: Full-Time, On-Site
A well-established healthcare organization in Visalia is seeking a Customer Service Representative I to support its Blue Cross operations team. This role is ideal for someone who thrives in a fast-paced, service-driven environment and enjoys helping members and providers navigate their healthcare benefits.
Position Overview
The Customer Service Representative I provides front-line support by answering inbound calls, placing outbound calls, responding to emails and eFaxes, and assisting walk-in inquiries. The role ensures compliance with health plan regulatory requirements and supports call center service-level objectives.
You will educate members and providers on eligibility, medical and pharmacy benefits, and how to access services — all while maintaining excellent service standards and high customer satisfaction.
Key Responsibilities
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Serve as the primary point of contact for member and provider inquiries.
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Answer high-volume inbound calls and place outbound calls as needed.
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Respond to alternative communication channels including email, voicemail, fax, and walk-ins.
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Document all interactions accurately and thoroughly in accordance with established guidelines.
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Support grievances, appeals, and claims issues, escalating when appropriate.
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Follow all policies, procedures, and compliance requirements.
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Maintain regular and predictable on-site attendance.
Required Skills & Abilities
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Strong customer service and active listening skills.
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Clear verbal and written communication abilities.
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Ability to understand and explain healthcare benefits.
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High attention to detail and accuracy.
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Dependability, integrity, and a cooperative attitude.
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Ability to adapt to changes and maintain professionalism in a fast-paced environment.
Education & Experience
Work Environment & Physical Requirements
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Indoor office environment, 100% on-site.
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Ability to walk, sit, stand, stoop, crouch, and climb stairs.
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Ability to lift up to 25 lbs.
Visalia, CA
2433
4002 South Demaree
Visalia, CA 93277
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