SCA Customer Care Representative I/II

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America’s leading health benefits companies and a Fortune Top 50 Company.

SCA Customer Care Representative I/II

Location: Denison, TX

This job is only to be used if covered under SCA. Responds to questions via telephone and written correspondence regarding insurance benefits, contracts, eligibility and claims. Proficient in all basic service areas; performs some but not all types of moderately complex function. Must be able to successfully perform all the duties of the NGS Customer Care Rep I.

Primary duties may include, but are not limited to:
Analyzes problems and provides information/solutions.

Operates a PC to obtain and extract information; documents information, activities and changes in the database.

Thoroughly documents inquiry outcomes for accurate tracking and analysis.

Develops and maintains positive relations and coordinates with various functions within the company to ensure requests and questions are handled appropriately and in a timely manner.

Researches and analyzes data to address operational challenges and service issues.

Provides external and internal customers with requested information.

Proficient in all basic customer service functions.

Knowledgeable in finance/financial systems to be able to assist with inquiries.

Receives and places follow-up telephone calls / e-mails to answer questions.

May require deviation from standard practices and procedures with the assistance of a computerized system.

Requires general knowledge of NGS services and contracts.

Seeks, understands and responds to the needs and expectations of internal and external customers.

Required to meet department goals and expectations.