Job Details

Customer Care Team MemberThe Customer Care team is responsible to service our members to experience the upmost of care and compassion by conveying empathy and resolving all issues and helping them get back to enjoying their lives as quickly and effortlessly as possible. The Correspondence Phone Support will report to the Operation Supervisor. In this role you will be responsible of upholding our mission of providing service worthy of our family and friends. You are empowered to provide members with peace of mind that their current issue is resolved and that none are on the horizon.Our leadership model is about developing great leaders at all levels and creating opportunities for our people to growpersonally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.ResponsibilitiesIn this role, you will:Resolve incoming calls concerning member eligibility, benefits, provider information, and clinical needsHandle escalated callsPerform inventory reduction, routine to mid-levelExpedite, research, and resolve complex issuesConsistently perform established performance metrics including but not limited to voice of the customer survey results, quality, and productionCoordinates membership changes such as member's primary care physicianParticipate in quality and efficiency workgroups to continuously improve quality member/customer satisfaction as requestedAssist members with grievances and appealsEngage members with their wellness plan optionsOther duties as assignedQualificationsYour Knowledge and Experience:Must reside in the state of CA preferably within a 50-mile radius from one of our office locationsLong Beach, Rancho Cordova, Redding, Woodland Hills, Lodi, El Dorado Hills etc.Requires a High School Diploma or GEDTypically, requires at least 3 years of prior relevant experienceBasic understanding of medical terminology is preferredBasic understanding of the principles and protocols of Medi-CalCustomer service orientatedRequires basic job knowledge of Microsoft Suite systems and the ability to use applications on a computer proficientlyRequires attending and completing training facilitated remotelyRequires high internet connectivity speedRequires private work location at their residence free from distractions and within 15 feet of their Wi-Fi modemPreferred Qualifications:BilingualSpanish. Language proficiency as demonstrated by successful completion of an oral language proficiency testMedical terminologyHybrid Virtual WorkThis role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.Job InfoJob Identification 20260684Job Category Customer Services and OperationsPosting Date 04/09/2026, 07:18 PMApply Before 04/16/2026, 07:00 AMJob Schedule Full timeLocations US-CA-Long Beach-Kilroy AirportPay Range for California $20.13 to $28.18Pay Range for Bay Area $22.69 to $31.76Note Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles.Role can be filled by a candidate requiring sponsorship No