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Employer Service Representative

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Elevance Health

19d ago

  • Job
    Full-time
    Senior Level
  • Customer Relations
    Healthcare
  • Wallingford

AI generated summary

  • You need a HS diploma or equivalent and at least 5 years of claims/customer service experience; an associate degree is preferred.
  • You will address client service issues, communicate changes, resolve billing concerns, investigate inquiries, and coordinate with departments, including occasional client visits based on needs.

Requirements

  • Requires a HS diploma or equivalent and a minimum of 5 years related claims/customer service experience; or any combination of education and experience which would provide an equivalent background.
  • Associate degree preferred.

Responsibilities

  • Services client accounts with timely and effective response to client service related concerns and issues.
  • Keeps operational teams appraised of client changes, culture, benefit intent, etc.
  • Keeps account appraised of service related trends and issues, handles escalations and provides overall support to key client service related issues and needs.
  • Talks with clients by phone or in person to ensure the best service possible.
  • Answers client inquiries regarding health plan or service issues.
  • Responds to customer issues and investigates and resolves errors.
  • Coordinates complaint resolution concerning billing or services rendered with appropriate department(s).
  • Coordinates client service needs with other departments as required to ensure client service and satisfaction.
  • Regularly travels and attends and participates in on-site client visits as the need arises based on performance guarantees of that group.
  • Client visits can be anywhere from 1 time a week to a couple times a year all depending on importance and the need.

FAQs

What is the role of an Employer Service Representative?

The Employer Service Representative is responsible for providing operational support and expertise to key client contacts and Account Management, ensuring effective service related to client needs and inquiries.

What are the primary duties of an Employer Service Representative?

Primary duties include servicing client accounts, responding to client service concerns, coordinating complaint resolution, and participating in client visits.

What are the minimum requirements for this position?

The minimum requirements include a high school diploma or equivalent and at least 5 years of related claims or customer service experience, or a combination of education and experience that provides an equivalent background.

Is an associate degree preferred for this position?

Yes, an associate degree is preferred but not required.

What kind of travel is involved in this position?

The role involves regular travel for on-site client visits as needed, which can range from once a week to a few times a year depending on client importance and needs.

What benefits does Elevance Health offer?

Elevance Health offers a range of benefits including merit increases, paid holidays, Paid Time Off, incentive bonus programs, medical, dental, vision, disability benefits, 401(k) matching, stock purchase plans, life insurance, and wellness programs.

Do I need to be vaccinated against COVID-19 to apply?

Yes, Elevance Health requires all new candidates in certain patient/member-facing roles to be vaccinated against COVID-19 and Influenza unless an acceptable explanation is provided.

What is the company's stance on Equal Employment Opportunity?

Elevance Health is an Equal Employment Opportunity employer and considers all qualified applicants for employment without regard to various protected statuses.

What is the work environment for this role?

The work environment is hybrid, requiring associates to work from an Elevance Health location at least once per week unless specified as primarily virtual by the hiring manager.

How can applicants requiring accommodation during the application process get assistance?

Applicants requiring accommodation can contact elevancehealthjobssupport@elevancehealth.com for assistance.

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Elevance Health

Improving the health of humanity

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner.   Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health.  We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.