Remote Healthcare Customer Service Advocate

Job Summary

To support customer inquiries and claims, the full-time Remote Healthcare Customer Service Advocate will respond to calls, educate members on health benefits, and resolve issues while working remotely during standard business hours.

Key responsibilities

• Respond to and resolve customer service inquiries regarding benefits, eligibility, and claims on the first call
• Guide customers in understanding health care options and assist with appointment scheduling with care providers
• Research complex issues and provide timely follow-up to ensure customer satisfaction and issue resolution

Required qualifications

• High School Diploma or equivalent work experience
• At least 1 year of experience in a call center or customer support role preferred
• Ability to translate complex healthcare information into understandable terms for customers
• Proficient conflict management skills to handle stressful situations effectively
• Flexibility to work scheduled shifts and adapt to changing needs, including overtime or weekends as required