This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs.
Work Hours: Monday through Friday, 10:35 AM to 7:05 PM EST
The SCA Customer Care Representative I is responsible for handling or responding to customer service issues.
How you will make an impact:
- Responds to caller questions via telephone and written correspondence regarding benefits, contracts, eligibility and claims.
- Analyzes issues and provides information and/or solutions.
- Obtains and extracts information from computer system.
- Documents information, activities and changes in the database.
- Thoroughly documents inquiry outcomes for accurate tracking and analysis.
- Develops and maintains relationships throughout organization and coordinates with various functions 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.
- Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer questions that are routine in nature.
- Uses computerized systems for tracking, information gathering, and troubleshooting.
- Understands and responds to the needs and expectations of internal and external customers. Meets department goals.
- Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers.
- Additional expectations to include but not limited to: Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions; attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.
- Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
- Performs other duties as assigned.
Minimum Requirements
- Requires a High School diploma or equivalent with experience in an automated customer service environment preferred; or any combination of education and experience which would provide an equivalent background.
- This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years
Preferred Experience, Skills and Capabilities
- Knowledge of services and contracts preferred.
- Prior call center or customer service experience within the healthcare industry is highly preferred.
- Strong knowledge of claims is preferred.
- Strong verbal and written communication skills are highly preferred.
- Proficiency in multitasking, navigating multiple computer applications, and efficiently managing tasks while interacting with customers is strongly preferred.
- Ability to work effectively with multiple systems simultaneously in a fast-paced environment is highly preferred.
- Excellent organizational and multitasking abilities are strongly preferred.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $17.20.
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
