Customer Service Advocate

Job Summary

Providing first-level problem resolution, the full-time Customer Service Advocate will answer inquiries from members, providers, and brokers regarding product information, claims resolution, and eligibility while working remotely.

Key responsibilities

• Resolve inquiries via telephone by gathering information and examining claim submissions for accuracy
• Educate customers on product benefits and contractual provisions while documenting all interactions per departmental procedures
• Maintain customer records and participate in ongoing education related to new services and industry topics

Required qualifications

• High School Diploma or GED
• Less than one year of customer service experience
• Experience in a call center environment or familiarity with medical or insurance terminology is preferred
• Successful completion of provided training
• Demonstrated skills in PC navigation and data entry