Customer Service Representative Associate - Corewell Health : Job Details

Customer Service Representative Associate

Corewell Health

Job Location : Southfield,MI, USA

Posted on : 2025-08-30T14:20:34Z

Job Description :
Temporary Csr Role Supporting Priority Health

We're seeking dedicated and professional candidates for a temporary CSR role supporting Priority Health, running from September 29, 2025 through February 27, 2026. Applicants must be available to start on the specified date and commit through the end of the assignment. This is a great opportunity to gain experience in a dynamic healthcare environment while making a meaningful impact.

Inbound call center to assist and educate members, employer groups, providers, colleagues, and/or agents of health plan benefits with accessing services, facilitating and resolving problems, understanding claims, billing and coding, along with other questions. Consistently create an exceptional experience with each contact, via inbound and outbound calls, face-to-face interactions, online chat, email, etc.

Essential Functions
  • Analyzes, evaluates, resolves and responds to service inquiries from members, providers, employer groups, colleagues, agents, elite agents (customers), and others within departmental guidelines. Professional and pleasant interactions are ongoing expectations.
  • Partnering with internal and external resources, promptly provides customers with information and education concerning benefit clarification, eligibility requirements, verification, authorization, billing and claim status.
  • Promptly identifies and resolves or escalates customer concerns or complaints to achieve positive outcomes. Places outbound welcome calls to members to educate them on their benefits as needed. Assists walk-in members and agents if assigned by leadership.
  • Adheres to established procedure and quality guidelines in support of Priority Health service promise, key drivers, performance indicators, as well as corporate values and codes of excellence. Identifies potential trends or issues that impact health plan members and works with coworkers and leadership resources to suggest process improvements.
  • Assists members with administrative issues, such as submitting enrollment record changes, providing letter explaining coverage or benefits, and obtaining and relaying certain member information to other departments as needed.
  • Facilitates claims resolution through follow-up on member calls and correspondence received to appropriate departments.
  • Effectively tracks and/or documents all service interactions with customers within appropriate systems according to guidelines.
  • Develops and maintains behaviors of productivity, availability to customers, and adherence to work schedule.
Qualifications
  • Required high school diploma or equivalent
  • Preferred associate's degree
  • 1 year of relevant experience in related field required
How Corewell Health Cares For You
  • Comprehensive benefits package to meet your financial, health, and work/life balance goals.
  • On-demand pay program powered by Payactiv.
  • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
  • Optional identity theft protection, home and auto insurance, pet insurance.
  • Traditional and Roth retirement options with service contribution and match savings.
  • Eligibility for benefits is determined by employment type and status.

Primary Location

SITE - Beaumont Service Center - 26901 Beaumont Blvd

Department Name

PH - Customer Service East Region

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

Variable 8 a.m. to 8 p.m.

Days Worked

Monday to Saturday

Weekend Frequency

Variable weekends

Current Corewell Health team members please apply through Find Jobs from your Workday team member account. This career site is for non-Corewell Health team members only.

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