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GuideWell Mutual

Nonprofit mutual health insurance group in Florida

Customer Service Representative 1

Customer SupportPosted on Nov 11
Full-timeSan Antonio, TX, USA

About the Job

Requirements

  • 0–1 years of related work experience.
  • Inbound call center experience in the health insurance industry.
  • High school diploma or GED.
  • Professional phone voice and etiquette.
  • Demonstrated proficiency in Microsoft Word, Excel, and Outlook.
  • Excellent verbal and written communication skills.

Responsibilities

  • Successfully complete the training program.
  • Answer inbound calls from providers and members.
  • Resolve questions about benefits, claims, and eligibility.
  • Document notes for each call to ensure all information is saved.
  • Meet customer service metrics for average monthly after-call work time, hold time, staff time, talk time, and quality.
  • Handle callbacks and escalations as necessary.

About the Company

GuideWell Mutual

Nonprofit mutual health insurance group in Florida

GuideWell Mutual Holding Corporation is the not-for-profit, policyholder-owned parent of Florida Blue, the Blue Cross and Blue Shield health insurer for Florida. Its family of companies also includes Triple-S, which runs the Blue plans in Puerto Rico, and GuideWell Source, which processes Medicare claims for the federal government through Novitas Solutions and First Coast Service Options. Most income comes from health plan premiums paid by employers, individuals and Medicare members, plus fees for running claims for others. As a mutual, it has no shareholders, and Florida Blue policyholders control it. GuideWell was formed in 2013 and is based in Jacksonville, Florida.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Jacksonville, FL
Founded
2011

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