Consumer Care Advocate

Job Summary

To provide high-quality service to both internal and external customers, the contract Consumer Care Advocate will work remotely, managing incoming claims-related inquiries and ensuring efficient customer experiences while processing data and coordinating updates.

Key responsibilities

• Process incoming calls, faxes, and voicemails from claimants and providers, resolving claims-related questions and issues
• Communicate claims status and activities to clients and appropriate medical contacts, responding to inquiries about jurisdiction and claim-specific issues
• Enter data into claims systems, ensuring proper documentation and coding of claims files

Required qualifications

• High school diploma or GED required; associate's degree preferred
• Two years of administrative and/or customer service experience or equivalent combination of education and experience
• Professional certification applicable to the line of business preferred
• PC literate, including proficiency in Microsoft Office products
• Strong investigation and organizational skills