Blue Cross and Blue Shield Association logo

Team Lead - Operations

Blue Cross and Blue Shield Association

  • Philadelphia, PA
  • 3 days ago

    Highlights

    PPO, HMO, group and individual plans, assigned IBC products and services under Scope, Ancillary products, (e.g. Dental, Vision, Prescription), the Affordable Care Act, CMS requirements, HIPAA, relevant state laws and Departments of Insurance(DOI) regulations.

    Numbers & Facts

    LocationPhiladelphia, PA
    IndustryInsurance
    Company Size2,000 to 2,499 employees
    Websitehttps://www.bcbs.com/about-us/careers

    Description

    Responsibilities:

    Call monitoring of agents

    Supervisor calls, answer, research and follow-through

    Side by Side coaching and monitoring to focus on:

    QA

    AHT issues

    Adherence

    MTM errors

    Short training sessions for selected topics - as needed

    Run listening lounge sessions

    Review and Approve/Process RX updates (if RX edit trained)

    Support the supervisor line when needed -during meeting's, required coaching and to cover for vacations

    Floor support for agent's questions

    Communicates, implements, and interprets corporate and departmental policies and procedures

    Provides team members with ongoing feedback, coaching, and counseling on performance for achievement of all benchmarks.

    Provides technical expertise related to job unit function

    Compiles and prepares required data for report information pertaining to unit.

    Serves as the next level contact for problems/issues that staff cannot resolve

    • Identifies high performing agents for future opportunities
    • Request form updates for follow-up time as needed
    • Inventory- as needed
    • Submit manager exception-after all research has been completed
    • Respond to the WFM daily chat
    • Take phone calls as needed
    • Performs all other appropriate responsibilities and duties as assigned.

    Qualifications - Internal

    Qualifications:

    Education

    Minimum High School diploma or equivalent

    Two years college education preferred

    Experience

    Excellent oral and written communication skills, as well as ability to carry out assignments with minimal guidance.

    Mastery of call center customer service practices.

    Foundational understanding of IBC family of companies, organization and functions including BCBSA, Claims, Billing Appeals, Customer Service, Enrollment QA, Workforce Management, etc.

    Mastery of general health insurance products e.g. PPO, HMO, group and individual plans, assigned IBC products and services under Scope, Ancillary products, (e.g. Dental, Vision, Prescription), the Affordable Care Act, CMS requirements, HIPAA, relevant state laws and Departments of Insurance(DOI) regulations.

    Demonstrate listening, verbal and written communication skills.

    Can do approach to work.

    Excellent communication skills

    Excellent interpersonal skills, to include influencing others and negotiation

    Excellent project management skills

    Experience in innovative problem solving

    Problem solver and self-starter

    Strong attention to detail

    Ability to lead multiple and varied initiatives and activities simultaneously

    Analytical ability to identify and resolve staff and customer problems.

    Must be able to prioritize work in an environment that changes frequently.

    Schedule flexibility between hours of 8am-9pm during peak season

    Must have the ability to manage organize, plan and provide leadership to staff

    Developing and motivating team members to facilitate professional growth

    Leadership and relationship building skills

    Demonstrated time management skills

    Technical / Computer Skills

    Intermediate knowledge of Team Leader functions

    Exposure to an operations services environment is highly recommended

    IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

    Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

    Responsibilities:

    Call monitoring of agents

    Supervisor calls, answer, research and follow-through

    Side by Side coaching and monitoring to focus on:

    QA

    AHT issues

    Adherence

    MTM errors

    Short training sessions for selected topics - as needed

    Run listening lounge sessions

    Review and Approve/Process RX updates (if RX edit trained)

    Support the supervisor line when needed -during meeting's, required coaching and to cover for vacations

    Floor support for agent's questions

    Communicates, implements, and interprets corporate and departmental policies and procedures

    Provides team members with ongoing feedback, coaching, and counseling on performance for achievement of all benchmarks.

    Provides technical expertise related to job unit function

    Compiles and prepares required data for report information pertaining to unit.

    Serves as the next level contact for problems/issues that staff cannot resolve

    • Identifies high performing agents for future opportunities
    • Request form updates for follow-up time as needed
    • Inventory- as needed
    • Submit manager exception-after all research has been completed
    • Respond to the WFM daily chat
    • Take phone calls as needed
    • Performs all other appropriate responsibilities and duties as assigned.

    Qualifications

    Qualifications:

    Education

    Minimum High School diploma or equivalent

    Two years college education preferred

    Experience

    Excellent oral and written communication skills, as well as ability to carry out assignments with minimal guidance.

    Mastery of call center customer service practices.

    Foundational understanding of IBC family of companies, organization and functions including BCBSA, Claims, Billing Appeals, Customer Service, Enrollment QA, Workforce Management, etc.

    Mastery of general health insurance products e.g. PPO, HMO, group and individual plans, assigned IBC products and services under Scope, Ancillary products, (e.g. Dental, Vision, Prescription), the Affordable Care Act, CMS requirements, HIPAA, relevant state laws and Departments of Insurance(DOI) regulations.

    Demonstrate listening, verbal and written communication skills.

    Can do approach to work.

    Excellent communication skills

    Excellent interpersonal skills, to include influencing others and negotiation

    Excellent project management skills

    Experience in innovative problem solving

    Problem solver and self-starter

    Strong attention to detail

    Ability to lead multiple and varied initiatives and activities simultaneously

    Analytical ability to identify and resolve staff and customer problems.

    Must be able to prioritize work in an environment that changes frequently.

    Schedule flexibility between hours of 8am-9pm during peak season

    Must have the ability to manage organize, plan and provide leadership to staff

    Developing and motivating team members to facilitate professional growth

    Leadership and relationship building skills

    Demonstrated time management skills

    Technical / Computer Skills

    Intermediate knowledge of Team Leader functions

    Exposure to an operations services environment is highly recommended

    IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

    Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

    IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

    Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

    About Company

    At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

    Similar Jobs