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Capital Blue Cross
Capital Blue Cross
1,001 – 5,000 Employees
H1B Visa SponsorConsultingHealthcareInsurance
Capital Blue Cross is a healthcare and insurance organization serving individuals, families, employers, and communities in Central Pennsylvania and the Lehigh Valley. Its offerings include health plans, Medicare coverage, student health plans, and resources designed to help members navigate medical care. The company focuses on accessible coverage, preventive health, and ongoing support for members’ broader wellness needs.
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Remote Customer Service Representative – Pennsylvania

Support Capital Blue Cross members, providers, and other customers with questions about enrollment, billing, benefits, and claims. Research cases, coordinate resolutions, and provide accurate updates across health insurance operations.

USUnited StatesPAPennsylvania
$16 – $31 / year
RemoteFull-timeJuniorNo degree requiredEnglish RequiredCustomer Support
React

Description

  • Serve members, providers, administrators, brokers, Plan staff, and the public with courteous, professional support.
  • Respond to inquiries by phone, fax, mail, email, internet messenger, and in-person interviews.
  • Research and assess questions about enrollment, billing, benefits, and claims.
  • Interpret relevant policies and procedures to determine the appropriate next steps.
  • Resolve routine and moderately complex inquiries across Capital Blue Cross’s supported lines of business.
  • Give the appropriate Plan teams clear directions for resolving issues.
  • Work with internal and external contacts to gather information and start required actions.
  • Provide customers with accurate, timely answers by phone or in writing.
  • Track inquiries through timely, accurate resolution and monitor customer satisfaction.
  • Record and maintain information in Facets or the Inquiry Control System.
  • Share inquiry trends with management.
  • Help Marketing staff and brokers research and communicate customer information.
  • Take part in marketing events, including health fairs, seminars, open enrollment, and on-site visits.

Requirements

  • High school diploma or GED.
  • At least one year of customer service experience.
  • Ability to interpret detailed policies and procedures and apply them to different situations.
  • Understanding of the responsibility to protect health information under HIPAA.
  • Ability to work independently, adapt, and respond appropriately to changing assignments and work environments.
  • Professional verbal and written communication skills.
  • Analytical, organizational, and problem-solving skills.
  • Ability to use phone systems such as Interactive Voice Response and Automated Call Distribution.
  • Familiarity with computers and software such as Microsoft Office.
  • Ability to perform sedentary work involving extended periods of sitting, speaking, listening, typing, and repetitive motion.

Benefits

  • Medical, dental, and vision coverage
  • Retirement plan
  • Paid time off
  • Paid holidays
  • Volunteer time off
  • Incentive plan
  • Tuition reimbursement
  • Flexible work environment
  • Training and continuing education
  • Community volunteer opportunities

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