Company Statement

For the last 80 years, EmblemHealth has been taking care of New York’s heart and soul, its people. Today, health care is more complex than ever. That’s why we’re at the forefront of change. We work alongside our customers to offer access to high-quality, affordable care, help navigate the health care experience, and make good health achievable; because everyone deserves to be taken care of. We deliver on our mission every day by living our values with our colleagues, members, clients and partners. It begins with caring and respecting all those we work with. We believe a culture of diversity and inclusion is vital to serve our unique and diverse customers. We seek for continues improvement and innovation and believe being agile and nimble is our advantage. We bring a strong sense of partnership to every relationship – internally and externally. The EmblemHealth family of companies offers competitive health, welfare, and retirement benefits as well as incentive pay plans and more.

Customer Service Representative

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Bargaining Unit
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EmblemHealth
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In-Person Hiring Event

Monday, June 24, 2024 (8:30 am to 1:00 pm & 2:30 pm to 6:00 pm) and

Tuesday, June 25, 2024 (8:00 am to 12:00 pm & 2:00 pm to 5:00 pm)

Marriott Syracuse Downtown - 100 East Onondaga Street, Syracuse, NY 13202

EmblemHealth 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 Campuswood Drive, East Syracuse, NY 13057

Work Shifts

  • Monday through Friday, 10 am to 6 pm (35-hour work week)

Training

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

Compensation and Benefits

  • Hourly Pay Rate is $22.19
  • We offer competitive health and wellness benefits

Please review the position description below:

  • 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 EmblemHealth 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.

Qualifications: 

  • 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

Education and Experience:     

  • 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

Security Disclosure

If you are offered a job from one of the EmblemHealth family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the offer confirmation email will come from “HRTalentAcquisition” with the subject line: “Offer of Employment for (job title)” – Please respond online”.

 

We never ask you to join a Google Hangout, request you to purchase your own equipment or pay to apply. We do not send email from a third-party email service such as Yahoo or Gmail. 

Pay Disclosure

A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.

EEOC Statement

We are committed to leveraging the diverse backgrounds, perspectives, and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy or related condition, marital status, national origin, disability, protected veteran status or any other characteristic protected by law.

Sponsorship Statement

Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, EmblemHealth may provide work visa sponsorship for certain positions.

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