Role Description

Premera is committed to making healthcare work better, and it all starts with the Customer Service Representative. To help us continue to provide the best support for our customers, Premera is hiring additional Customer Service Representatives based out of Eastern Washington, Idaho, Oregon, Montana, Utah, Minnesota, Wisconsin, Tennessee, North Carolina, South Carolina, Georgia, Florida, Texas, and Arizona areas.

As a Customer Service Representative, you play an essential role in ensuring that the customers we serve are provided with a first call resolution.

The Customer Service Representative II (CSR II) plays an essential role in ensuring that the members and providers that Premera serve are provided with a first call resolution. Through applying Premera’s core values and competencies, the CSR II provides inbound and outbound customer service support while ensuring delivery of accurate, complete, and timely information. CSR II conducts research to provide claims status, investigates routine questions, escalates all call issues as required and thoroughly documents all member interactions. CSR II serves both Premera members and providers which includes doctors, facilities (clinics, hospitals, skilled nursing facilities, etc.), and vendors for multiple geographic locations.

What you will love:

• Set schedule with consistency – Monday through Friday, 8-hour shift between 5 a.m. and 8 p.m. Pacific Time.
• Twelve weeks of paid virtual training (100% attendance required).
• Work from home, full time (40-hour week).
• Upon successful graduation of the 12-week training class, Premera will provide a one-time pre-tax allotment of $500 (minus taxes) towards home office furniture.
• A comprehensive benefits package that is designed to promote health and well-being.
• Healthcare benefits start day one.
• Generous PTO policy in addition to 8 paid days off a year plus two floating holidays.
• Tuition assistance for both undergraduate and graduate level classes.
• Opportunities for RISE recognition.
• A nationally recognized workplace as one of the best companies to work for.

What you will do:

• Accountable for inbound and/or outbound phone-based customer service; provides first call and/or email resolution, de-escalate calls, as well as provides caller education, through clear and accurate exchange of information.
• Follow-up, resolve and document issues in a timely manner.
• Route inquiries needing further investigation to the appropriate department and conduct routine research as needed.
• Follow up on pended items and route incoming paperwork to correct departments for completion.
• Work with highly sensitive information while maintaining Personal Protected Information (PPI) requirements.
• Performs with reliable and consistent behaviors, performance goals and metrics, and attendance.
• Other duties as assigned.

What you will bring:

• High School Diploma or GED. (Required)
• Two years of customer service experience in related fields (Required).
• Ability to defuse conflict and address customer concerns effectively with empathy and respect.
• Demonstrated recent experience with Microsoft Office Suite or equivalent software platforms.
• Demonstrated ability to accept constructive feedback, adapt work practices accordingly, and implement changes to improve performance.
• Ability to adapt communication style to broad audiences.
• Ability to work a variety of shifts based on quality metrics (if shift bid applies).
• Two (2) years of college coursework or three (3) years of work experience in customer service.
• Experience in healthcare, insurance, benefits, and/or claims processing industries.
• Call centers with high volume inbound/outbound calls.
• Recorded screen settings.
• High volume metrics and audited work.

What you will gain:

• Deep healthcare and insurance knowledge, and an understanding of the provider ecosystem.
• Regulatory and compliance awareness, including the handling of Personal Protected Information (PPI) and HIPAA-related practices.
• Daily use of ALICE, Premera’s AI-powered virtual agent, to access procedures and guidance.
• Career progression pathways: CSR roles feed into many other operations roles.

Physical Requirements:

• This is primarily a sedentary role which requires the ability to exert up to 10 lbs. of force occasionally.
• This role requires the ability to keyboard, to communicate and to receive detailed information through verbal communication clearly and understandably in person, and over the telephone.

Benefits

• Medical, vision, and dental coverage with low employee premiums.
• Voluntary benefit offerings, including pet insurance for paw parents.
• Life and disability insurance.
• Retirement programs, including a 401K employer match and a pension plan.
• Wellness incentives with a wide range of mental well-being resources.
• Generous paid time off to reenergize.
• Tuition assistance for both undergraduate and graduate degrees.
• Employee recognition program to celebrate anniversaries and team accomplishments.
• Commuter perks and free convenient on-site parking.
• Engaging on-site activities such as health and wellness events.
• Access to a complementary fitness & well-being center.

Equal Employment Opportunity/Affirmative Action

Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.

The pay for this role will vary based on a range of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience. The salary range for this role is posted below; we generally target up to and around the midpoint of the range.

National Salary Range: $38,500.00 - $57,800.00

We’re happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all.