Claims Member Service Advocate

Job Summary

A company is looking for a Member Service Advocate - Claims.

Key Responsibilities

• Manage incoming claims communication and resolve issues on existing claims
• Identify roadblocks preventing claims from being paid and assist beneficiaries in completing requirements
• Review documentation for accuracy and ensure compliance with procedural and regulatory requirements

Required Qualifications

• High School Diploma or equivalent required; some college coursework or related specialized training preferred
• LOMA281 and LOMA291 to be completed within the first year of hire
• 2+ years of customer service experience required; high volume call center experience preferred
• Understanding of Life Insurance, HIPAA, and Privacy Act
• Proficient with technology, including Microsoft Office products