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.


To protect the health and safety of our workforce, members, patients, and the communities we serve, the EmblemHealth family of companies require all new employees to be fully vaccinated for COVID-19. Exemption/reasonable accommodations may be granted because of 1) a qualifying medical condition or disability that makes getting the vaccine unsafe for the individual, or 2) objection on the basis of sincerely held religious beliefs and/or practices.

Customer Service Representatives (Multiple Positions)

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Bargaining Unit
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EmblemHealth
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We are seeking dynamic Customer Service Representatives to join our Call Center in Syracuse, NY starting February 2022! The Customer Service Representative will provide customer service support to EmblemHealth members. Inquiries can range from verifying information, question regarding bill, locating a Physician in accordance to their plan, etc. They will be responsible for addressing any issues under EmblemHealth’s various plans as it relates to areas of coverage, payment of claims, membership status, medical management intake calls, etc.

Description of Duties:

  • 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.

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.
  • Regular attendance is an essential function of the job
  • Bi-lingual Spanish speaking preferred

Education and Experience:

  • A minimum of two (2) years’ experience in customer service; 1 year must be in a call center setting.
  • A college degree is preferred.
  • Health insurance experience is a plus

Test Subjects:

  • Online: Reading Comprehension
  • Online: Customer Service
  • Oral Telephone Simulation; Interview

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, 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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