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Medicare Advantage Customer Experience Representative-10

February 18, 2026

The Medicare Advantage Customer Experience Representative provides a world class customer service experience through resolution of complex customer inquiries from members, providers, internal customers, and other Blue Plans related to Medicare Advantage (MA). “This position is eligible to work onsite or remote in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment.” This role includes hours that can range from 8:00 a.m. to 8:00 p.m. and can include weekend hours from October 1 through March 31. This position will have a start date of approximately March 30, 2026. Why Join Us? • Family Comes First: Total rewards package that promotes the idea of family first for all employees; including paid time off and family first leave. • Professional Growth Opportunities: Advance your career with ongoing training and development programs both through our internal Blue University and external opportunities. • Dynamic Work Environment: Collaborate with a team of passionate and driven individuals. • Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans. • Stability: 80 years of commitment, compassion, and community • Lead and Inspire: Guide and mentor your team to achieve their full potential and success. • Balance: paid vacation and sick leave with paid maternity and paternity available immediately upon hire • Real World Experience: You will work hand in hand with our team in learning our business and applying your classroom learning. • Networking Opportunities: Participate in our corporate intern program and network with other interns at BCBSKS to enhance your learning opportunity. Compensation Non-Exempt Grade 11 $20.96- $26.20 • Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.What you’ll doResponsibilities: <ul><li>Research, resolve, and respond to inquiries and correspondence via telephone, written, and email communication. Inquiries may be regarding benefits, eligibility, coverage and plan changes, payments, claims, prior authorizations, appeals, and grievances.</li><li>Resolve customer inquiries and grievances in a timely and accurate manner according to company and regulatory requirements.</li><li>Work with peers, other departments, and leadership to find appropriate solutions to problems.</li><li>May serve as a backup in processing MA member, member representative, or provider appeals and grievances.</li></ul>Perform assigned job-related duties as required, including any special projects.What you need Knowledge/Skills/Abilities:<ul><li>Effective communication skills to resolve complex inquiries and grievances. Must be able to follow Corporate Style Guide and excel at written, as well as verbal communication.</li><li>Ability to interact positively with internal and external customers while demonstrating empathy, adaptability, and listening skills.</li><li>Analytical and problem-solving skills to diagnose problems and recommend effective solutions.</li><li>Ability to listen, talk, type, and perform research simultaneously using various research channels.</li><li>Ability to maintain strict confidentiality in handling data related to job duties.</li><li>Effective time-management skills to respond to customer inquiries promptly.</li><li>Technical skills to effectively use computer programs and troubleshoot simple computer issues independently or with direction.</li><li>Must be comfortable working independently in a structured environment.</li><li>Ability to adhere to a rigid schedule and have regular and predictable attendance.</li><li>Ability to achieve production-based performance goals. Obtain and maintain any departmental or legally required certifications (e.g. CMS or BCBSA requirements).</li><li>Upon completion of training:<ul><li>Working knowledge of Blue Cross and Blue Shield of Kansas MA and other relevant customer service systems is required.</li><li>Detailed knowledge of MA line of business is required.</li></ul></li></ul>Education and Experience: Required:<ul><li>High school diploma or equivalent.</li><li>Two years of customer service experience.</li></ul>Preferred:<ul><li>College or continuing education courses in communications and/or medical related fields.</li><li>Two years of navigating multiple computer systems simultaneously.</li><li>Two years of MA or other call center or production-based customer service experience.</li><li>Blue Plan experience.</li></ul>Physical Requirements:<ul><li>Communicate by telephone 95 percent of the workday.</li><li>Use a personal computer in a stationary position at least 95 percent of the workday.</li></ul>Benefits & Perks<ul><li>Base pay is only one component of your competitive Total Rewards package:<ul><li>Incentive pay program (EPIP)</li><li>Health/Vision/Dental insurance</li><li>6 weeks paid parental leave for new mothers and fathers</li><li>Fertility/Adoption assistance</li><li>2 weeks paid caregiver leave</li><li>5% 401(k) plan matching</li><li>Tuition reimbursement</li><li>Health & fitness benefits, discounts and resources</li></ul></li></ul><div><div><div> </div></div></div>Our Commitment to Connection and BelongingAt Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...