Customer Service Advocate - Health Plan

DescriptionThe Customer Advocate 1 position involves engaging with Members and Providers to communicate policies, procedures, and services of the Health Plan. Under general supervision, you will handle complaints and work diligently on behalf of members to resolve issues. This role requires a proactive approach to customer service, ensuring that any concerns are addressed before they escalate into complaints.Compensation and Benefits• Immediate eligibility for health and welfare benefits• 401(k) savings plan with dollar-for-dollar match up to 5%• Tuition Reimbursement• PTO accrual beginning Day 1• Competitive salary based on experienceWhy you should apply for this position todayJoining our team as a Customer Advocate provides an excellent opportunity to make a positive impact in the lives of our members. You will be part of a dedicated team committed to customer service and continuous improvement in health care delivery.Skills• Proficient in typing and basic computer skills• Strong verbal and written communication skills• Excellent phone etiquette• Ability to multi-task effectively• Problem-solving abilities and customer advocacy• Familiarity with public relations and diverse customer baseResponsibilities• Communicate policies, procedures, and services of the Plan to Members and Providers• Adhere to call handling goals and document inquiries accurately• Assist Members with access to the Plan system and help select appropriate physicians• Resolve Member concerns effectively before they escalate to complaints• Act as a liaison between Members, Providers, and billing offices• Verify demographic information and update the Plan system as needed• Maintain schedule adherence and quality goals based on departmental policiesQualifications• High School Diploma or GED equivalent• At least 1 year of experience in customer service or healthcare settingsEducation Requirements• High School Diploma or GED EquivalentEducation Requirements Credential Category• High School Diploma or GED EquivalentExperience Requirements• Minimum of 1 year of experience in a customer service roleWhy work in Temple, TXTemple, TX offers a welcoming community and a balanced lifestyle, combining a rich cultural heritage with modern amenities. You’ll find a supportive environment that fosters personal growth and professional opportunities, making it an ideal place to build your career while enjoying a comfortable quality of life.