Horizon Blue Cross Blue Shield of New Jersey · 7 hours ago
Call Center Service Associate
Horizon Blue Cross Blue Shield of New Jersey is seeking a Call Center Service Associate to provide excellent service to customers. The role involves resolving basic customer inquiries received by phone or written correspondence and requires effective communication and problem-solving skills.
Health Care
Responsibilities
Receive customer inquiries via phone, fax, mail, e-mail, etc. If necessary, probe for additional helpful information (i.e. member ID, claim number, name, etc.) in order to effectively handle inquiry
Review computer systems and/or other reference materials to complete verification process
Initiate investigation process based on the nature of the inquiry (claim, member information, benefits, enrollment, appeals, etc.)
Utilize available resources to quickly and efficiently resolve or redirect inquiries in accordance with prescribed departmental process
Accurately document customer inquiries and actions taken in accordance with departmental quality guidelines to ensure appropriate follow up
Follow up on unresolved issues in a timely manner, escalating call trends to management
Deliver an excellent customer service experience while meeting quality and production standards
Perform other relevant tasks as assigned by management
Qualification
Required
High school degree or equivalent required
Excellent Customer Service skills including the ability to manage and diffuse irate calls
Ability to work in a high pressure, fast pace environment
Keyboarding proficiency
PC proficiency
Strong verbal and written communication
Interpersonal skills (i.e. active listening)
Investigative and analytical skills
Ability to multitask
Time management skills
Flexibility and adaptability
Ability to work effectively within a team environment
Preferred
Some college preferred
Some experience in a call center or customer service role within the health insurance industry preferred
Medical terminology and medical billing coding preferred
Benefits
Comprehensive health benefits (Medical/Dental/Vision)
Retirement Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
Tuition Reimbursement
Company
Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey is a company that provides health insurance products.
Funding
Current Stage
Late StageRecent News
2026-01-06
2025-12-29
2025-12-25
Company data provided by crunchbase