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About this Service Representative II role at Health Care Service Corporation

Health Care Service Corporation · Hybrid · IL - Lombard

At Dearborn, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

Through an inbound call center and under general supervision, provide quality customer service by responding to and resolving customer inquiries focusing on first call resolution. This may include billing, claims, general policy questions, website assistance/guidance, and/or other administrative functions focusing on the products of Supplemental Health and Vision through group policies. Additional responsibilities may include responding to written requests received from our online platform along with other assigned tasks that are needed for the success of the department and organization.

ESSENTIAL FUNCTIONS:
• May perform duties unique to the area, such as:
• Handles incoming phone inquiries from customers regarding general policy questions, membership transactions, claims status, and billing inquiries within established performance standards/metrics focusing on Supplemental Health and Vision Insurance policies. Supplemental Health insurance includes Accident, Critical Illness, and Hospital Indemnity.
• Ability to read and interpret policies and contracts, interpret multiple benefit plans. Understands products and services offered and recognizes the business impact prior to acting or making decisions.
• Analyzes, investigates, and resolves most issues through first call resolution.
• Prepare written correspondence to address specific needs.
• Actively participates in team environment/activities such as workflow prioritization and monitoring, compliance with service standards and policies and procedures, problem solving, decision making and coordination with other support functions.
• Provides administrative support to divisional teams, as required.
• Perform customer outreach via telephone as needed.
• Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
• Maintain complete confidentiality of company business.

JOB REQUIREMENTS:

High School Diploma.
2 years customer service experience.
PC proficiency to include Word, Excel, PowerPoint and Lotus Notes.
Clear and concise interpersonal, verbal and written communication skills.
Organizational, mathematical and analytical skills.
Self directed and motivated.
 Robust computer skills along with reasoning and analytical aptitude to resolve issues quickly and accurately; maneuvering between multiple systems/screens while on the phone.
 Clear and concise interpersonal, verbal and written communication skills.
 Organizational, mathematical and analytical skills.
 Self-directed and motivated.
 This is a flex-position (3 days in the office and 2 days working from home). Need to have the ability to adapt to a work from home environment which includes reliable high-speed internet and business appropriate work area.

JOB REQUIREMENTS:

  • High School Diploma.

  • 2 years of customer service experience, preferably in a call center environment.

  • Robust computer skills along with reasoning and analytical aptitude to resolve issues quickly and accurately; maneuvering between multiple systems/screens while on the phone.

  • Clear and concise interpersonal, verbal and written communication skills.

  • Organizational, mathematical and analytical skills.

  • Self-directed and motivated. 

  • This is a flex-position (3 days in the office and 2 days working from home).  Need to have the ability to adapt to a work from home environment which includes reliable high-speed internet and business appropriate work area. 

Call Center Hours of operation: 7:00 am - 6:00 pm CST

    Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

    Pay Transparency Statement:

    At Dearborn, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates. 

      

    The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

    Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee's weekly schedule for exigent circumstances.

     

    Dearborn Group Employment Statement:

    We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

    Base Pay Range

    $17.75 - $28.39

    Exact compensation may vary based on skills, experience, and location.

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    About Health Care Service Corporation

    HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job su

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