Health Care Service Corporation seeks a dedicated Customer Service professional to bolster member support in our Nashville operations. This position anchors the frontline delivery of healthcare guidance, ensuring members navigate benefits seamlessly amid complex plans. Handle inbound inquiries on claims processing, coverage verification, and provider networks, resolving 80% of cases on first contact. Guide members through enrollment updates and billing disputes using proprietary CRM systems like Avaya and HCSC's member portal. Collaborate with care coordinators on escalated escalations involving chronic condition support. Monitor call metrics to refine response strategies, contributing to quarterly service benchmarks exceeding 95% satisfaction rates. Participate in targeted training on HIPAA updates and Tennessee-specific Medicaid variations. High school diploma required; associate's in healthcare administration preferred. Minimum two years in customer-facing roles, ideally health insurance contact centers. Proficiency in telephony software, Microsoft Office 365, and electronic health record interfaces essential. Familiarity with ICD-10 coding a plus. Excel in active listening, conflict de-escalation, and clear articulation under pressure. Master data entry accuracy and multi-tasking across digital platforms. Thrive in our collaborative culture emphasizing work-life harmony and continuous growth. Modern office in Nashville's vibrant healthcare district offers flexible hours. Market-rate compensation complements comprehensive health coverage, generous PTO, and 401(k) matching.