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Job opening you're applying for
*
Please Select
Call Center Enrollment Counselor
Field Benefit Counselor
Benefit Service Representative
Legal Name
*
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Last
What would you Like us to call you?
Email
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(BCI staffing, HR, licensing, training and equipment departments will email you important information at this email address)
Address
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*Cannot ship to a PO Box
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HST
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How many years have you had your insurance license?
*
What state is your residence insurance license?
*
Which of the following licenses do you have?
Please Select
Alabama
California
Georgia
Florida
Do you have long term care certification in your resident state?
*
Yes
No
Do you have remote call center enrollment experience?
*
Yes
No
Do you have face-to-face enrollment experience?
*
Yes
No
What is your availability for project assignments?
*
Please note any days of the week, months or hours of the day you are unable to work. (is: "Cannot work past 6 pm PST", "looking for evening and weekend work" or "available June and July only" etc.)
Minimum hourly rate required.
*
Have you worked with BCI previously?
*
Yes
No
What companies have you worked with?
*
What enrollment systems have you used? (Check all that apply)
*
ADP
Alight
BSwift
Benefit Focus
Ceridian/Dayforce
ElectBenefits
Employee Navigator
Selerix
Oracle
Ultipro
WorkDay
Plan.biz
Benefit Connect
Other
If you chose "other", please list below.
Which languages are you fluent in?
*
English
Spanish
Punjabi
German
French
Are you fluent in any language that was not listed in the previous question? If no, please enter N/A.
Please rate your experience with each of the following programs.
Microsoft Office (Word, Excel)
*
Please Select
Inexperienced
Proficient
Advanced
Microsoft Outlook (Email and Calendar)
*
Please Select
Inexperienced
Proficient
Advanced
Microsoft Teams
*
Please Select
Inexperienced
Proficient
Advanced
Zoom Video Conferencing (breakout rooms, screen share, muting, video control)
*
Please Select
Inexperienced
Proficient
Advanced
Chrome (using multiple tabs, moving tabs to different screens, opening bookmarks)
*
Please Select
Inexperienced
Proficient
Advanced
Do you have a home computer?
*
Yes
No
Do you have high speed internet?
*
Yes
No
What else would you like us to know about you and how you would be a benefit to our BCI Team?
Who can we thank for referring you to us?
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