Work in Washington Veterans Jobs

Member Service Lead - ClaimsRemote Within WA, OR, ID, UT Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. * All qualified candidates will be invited to participate in a timed assessment. If you are selected to move forward to an interview, HR will reach out to schedule an interview with the hiring team. Who We Are looking For: Every day, Cambia's dedicated team in Member Services are living our mission to make health care easier and lives better. As a Member Service Lead for Claims you will assist your supervisor in accomplishing and supporting department and corporate strategic objectives by organizing, monitoring, training and scheduling staff activities to meet or exceed performance standards and service level goals. Leads keep lines of communication open between management and staff, and establish excellent rapport with all levels of staff and external customers. The Lead may also function as a technical resource for the department or, alternatively, may focus on training and coaching employees, depending on needs of the particular department. This position leads employees but has no reporting subordinates. What You Bring to Cambia: Qualifications: * High School diploma or GED * Minimum five years progressive work experience in customer service, claims processing, membership billing or enrollment, as applicable to position * Equivalent combination of education and experience * Healthcare experience preferred. Skills and Attributes: • You'll possess excellent verbal and written communication skills, with the ability to interpret and communicate information with tact, diplomacy, patience, and professionalism, while also demonstrating analytical ability in identifying problems, developing solutions, and implementing a course of action. • You'll be proficient in PC skills, including Word, Excel, and Outlook, as well as other corporate software programs or comparable software, and be able to prioritize and delegate work to ensure efficient operations. • You'll serve as a resource to correct technical and/or system problems, and be able to recognize and research invalid claims or inquiries, resolving and communicating resolutions to concerned parties in a timely and professional manner. • You'll possess strong interpersonal skills, with the ability to listen and communicate effectively with a diverse range of stakeholders, including the provider community, members, employer groups, agents, member representatives, and coworkers, while maintaining confidentiality and promoting positive, professional interactions. • You'll have knowledge of State and Federal Regulations, particularly for Government Programs related jobs, and be able to apply this knowledge to ensure compliance and effective operations, while also demonstrating the ability to work independently and as part of a team. What You Will Do at Cambia: • You'll handle difficult or escalated calls, claims, or inquiries from various stakeholders, thoroughly researching and resolving issues, while providing coaching and assistance to team members and promoting internal customer service. • You'll ensure superior customer service to both internal and external clients, following through on commitments, and assist in monitoring and distributing staff workload to meet service requirements, while also providing feedback and coaching to employees on routine performance issues. • You'll assist in improving department performance by participating in meetings, identifying training needs, and making recommendations for ongoing t To view the full job description,