Customer Service Representative; Syracuse

Emblem Health is one of the nation’s largest not for profit health insurers, serving members across New York’s diverse communities with a full range of commercial and government-sponsored health plans for employers, individuals, and families. With a commitment to value-based care, Emblem Health partners with top hospitals and doctors, including its own Advantage Care Physicians, to deliver quality, affordable, convenient care.

At over a dozen Emblem Health Neighborhood Care locations, members and non-members alike have access to community-based health and wellness guidance and resources. For more information,  .

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Emblem Health is a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. As one of the nation’s largest not‑for‑profit health insurers, we serve more than three million people in the New York tristate area.

All positions will be onsite at our Syracuse Campus located at 5015 Campus wood Drive, East Syracuse, NY 13057

• Monday through Friday, 8 am to 8 pm (35-hour work week)

• Must be available to attend 8-week paid training program, Monday through Friday, 10 am – 6 pm

• Hourly Pay Rate is $23.30
• We offer competitive health and wellness benefits

• Receive, answer and/or record telephone/correspondence/e-mail inquiries from subscribers, providers, and other consumers relating to areas of coverage, payment of claims, membership status, medical management intake calls, etc., under the various Emblem Health medical/surgical, dental, hospital and Medicare plans.
• Review inquiries, correspondence and email receipts. Prepare email resolutions, letters (form or narrative letter) and/or claims payment process adjustments.
• Perform written and verbal duties of the position to meet company goals for production and accuracy.
• Perform related claims approving and clerical work as assigned.
• Perform other duties as assigned or required.
• Regular attendance is an essential function of the job.

• Must be able to work under pressure, handle stressful situations effectively and deal politely with subscribers and providers on the telephone, in person, and email/correspondence
• Ability to detect and relate problem service issues to management
• Ability to speak well on the telephone and maintain a positive telephone personality
• Must be able to compose clear concise letters
• If designated, sort and screen correspondence receipts and resolve via coding of additional payment, possibly including salvage and/or completion by letter
• Typing and PC skills
• Ability to adapt to change and address multiple issues simultaneously
• Good organizational skills
• Must be available for training

• A minimum of two (2) years’ experience in customer service; one year must be in a call center setting
• A college degree is preferred
• Health insurance experience is a plus

• Requisition
• Hiring Range: $23.30 per hour

If you receive a job offer from Emblem Health, the email will be from "HRTalent

Acquisition" with the subject: "Offer of Employment for (job title) – Please respond online." We will never ask you to join a Google Hangout, buy your own equipment, or pay to apply. We also do not use third-party email services like Yahoo or Gmail.

At Emblem Health, we prioritize transparency in our compensation practices. We provide a good faith estimate of the salary range for potential hires, which is based on key factors such as role responsibilities, candidate experience, education and training, internal equity, and market conditions. Please be aware that this estimate doesn’t account for geographic differences related to your work location. Typically, new hires may not start at the top of this range, as compensation is tailored to each individual's circumstances.

For union positions, salaries will be determined according to the collective bargaining agreement. Join us at Emblem Health,…