
Customer Service Advocate II
Posted 3 days ago

Posted 3 days ago
This is a fully remote position, open to applicants in United States.
• Evaluate and investigate routine inquiries, requests, and concerns from members and/or providers.
• Identify underlying issues and collaborate with service or technical teams to implement corrective measures.
• Prevent complaints from escalating by addressing them effectively during the initial contact.
• Act as the primary resolution advocate for member and/or provider inquiries, requests, and concerns.
• Offer assistance on member or provider issues to guarantee exceptional service quality.
• Uphold performance and quality benchmarks in accordance with contact center metrics.
• Deliver customer support through phone, live chat, and email channels.
• Record member or provider details and communications using CRM applications.
• Keep updated with quality standards, regulations, and organizational policies.
• Address multiple inquiries, requests, and concerns within designated areas of responsibility.
• Carry out additional tasks as assigned.
• Adhere to all relevant policies and standards.
• Must possess authorization to work in the U.S. without requiring employment-based visa sponsorship now or in the future.
• High School diploma or GED is required.
• 1–2 years of relevant experience is necessary.
• Vocational or technical education may be required along with previous work experience.
• Experience in a contact center environment interacting with members and/or providers is preferred.
• Claims processing experience is preferred.
• Familiarity with Facets is preferred.
• Capability to perform in a fast-paced contact center environment.
• Ability to comply with quality standards, regulations, and company policies.
• Competitive salary.
• Health insurance coverage.
• 401K retirement plan.
• Stock purchase options.
• Tuition reimbursement assistance.
• Paid time off in addition to holidays.
• Flexible work arrangements including remote, hybrid, field, or office schedules.
• Additional incentive programs may be included in overall compensation.
• Equal opportunity employer dedicated to fostering diversity.
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