Experienced Customer Service Advocate II – Remote Health Insurance Support and Education Specialist

Introduction to blithequark

At blithequark, we are dedicated to providing exceptional health insurance services and support to our members, providers, and brokers. As a leader in the health insurance industry, we strive to make a positive impact on the lives of our customers by offering a range of health, financial, and self-service programs. Our team of experienced professionals is committed to delivering outstanding customer service, and we are seeking a highly skilled and compassionate Customer Service Advocate II to join our team in a remote capacity.

Job Summary

The Customer Service Advocate II will be responsible for answering member, provider, and broker inquiries pertaining to product information, benefits, claims resolution, eligibility, and billing questions in a call center environment. This role will proactively provide information and education to members, providers, and brokers about various health, financial, and self-service programs. The ideal candidate will have excellent communication and problem-solving skills, with the ability to work efficiently in a fast-paced environment and prioritize multiple tasks while utilizing multiple skill sets.

Key Responsibilities

• Provides first-level problem resolution to member, provider, and broker inquiries via telephone by gathering and researching information, examining claim submissions, verifying claim and system accuracy, and resolving issues based on applicable policies and procedures.
• Uses knowledge of products or services to provide customer information and analyze education, interpret contractual language, and determine the need for managed care initiatives.
• Delivers accurate information to customers in accordance with performance goals and objectives, and maintains customer advocate records by identifying underlying customer needs and guiding them to appropriate resources or programs.
• Prioritizes workflow and multitasks efficiently in a fast-paced environment while using multiple skill sets with demonstrated proficiency.
• Participates in ongoing education related to new services, industry topics, and skills, and stays up-to-date on company policies and procedures.

Essential Qualifications

To be successful in this role, the ideal candidate will have:

• A High School Diploma or GED, with 3 years of customer service experience.
• Demonstrated skills as an empathetic and compassionate communicator, with the ability to quickly gain customer trust and confidence.
• Strong interpersonal communication skills, with good oral and written communication skills.
• Demonstrated PC navigation and data entry skills, with the ability to effectively communicate and provide positive customer service to every internal and external customer.

Preferred Qualifications

Preferred candidates will have:

• 3 years of experience in a call center customer service role or experience with medical or insurance terminology.
• Knowledge of health insurance products and services, with the ability to analyze and interpret complex information.
• Experience working in a fast-paced environment, with the ability to prioritize multiple tasks and meet deadlines.

Career Growth Opportunities and Learning Benefits

At blithequark, we are committed to the growth and development of our employees. As a Customer Service Advocate II, you will have access to ongoing education and training, with opportunities to develop your skills and knowledge in the health insurance industry. Our comprehensive training program will provide you with the tools and resources you need to succeed in your role, and our experienced team will be available to support and guide you every step of the way.

Work Environment and Company Culture

At blithequark, we pride ourselves on our positive and supportive work environment. Our team is dedicated to providing exceptional customer service, and we strive to make a positive impact on the lives of our customers. As a remote employee, you will be part of a dynamic and flexible team, with the ability to work from the comfort of your own home. Our company culture is built on the values of respect, empathy, and compassion, and we are committed to creating a workplace that is inclusive and supportive of all employees.

Compensation, Perks, and Benefits

The salary range for this role is $36,360 - $66,660, depending on experience and qualifications. In addition to your compensation, blithequark offers a comprehensive benefits package, including various incentive programs and 401k contribution programs. Our benefits package is designed to support the health and well-being of our employees, with a range of options to suit your individual needs.

Conclusion

If you are a motivated and compassionate individual with a passion for customer service, we encourage you to apply for the Customer Service Advocate II role at blithequark. As a remote employee, you will have the flexibility to work from home, with the support and guidance of our experienced team. With opportunities for career growth and development, a comprehensive benefits package, and a positive and supportive work environment, this role is an excellent opportunity for anyone looking to make a positive impact in the health insurance industry. Apply today to join our team and start making a difference in the lives of our customers!

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