2025-27: Participant Advocate (Class II)

Pacific Southwest Administrators, Inc.; Covina (CA); On-site; USD 30,748 - 34,384; Full time

Job summary

A professional service organization in Covina, CA, is seeking a Participant Advocate (Class II) to assist plan participants with their benefits. This role involves answering inquiries, performing clerical duties, and requires strong customer service skills along with experience in a fast-paced environment. Bilingual candidates are preferred. The compensation ranges from $22.32 to $24.96 per hour.

Qualifications

• Minimum of two years in customer service.
• Experience preferred in medical claims and benefit eligibility.
• Ability to function in a fast-paced environment.

Responsibilities

• Assist participants in utilizing plan benefits.
• Answer telephone inquiries and greet walk-in guests.
• Perform general clerical duties for daily operations.

Skills

Customer service experience

Verbal and written communication

Bilingual in English and Spanish

Typing speed of 45 words per minute

Ability to manage challenging situations

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Microsoft PowerPoint

Job description

2025-27: Participant Advocate (Class II)

JOB TITLE: Participant Advocate (Class II)

Pay: $22.32-$24.96

LOCATION: Covina, CA

UNION REPRESENTING POSITION: Professional and Clerical Workers, Local Union 2348

Position Summary:

• Assists plan participants, beneficiaries and providers in understanding and utilizing the benefits available through the plans administered by PSWA
• Answers telephone inquiries
• Greets and assists walk-in guests
• Responds to inquiries regarding available types of benefits, eligibility and enrollment
• Performs general clerical duties to support the daily business activities of PSWA.

Required Skills and Experience:

• Minimum two (2) years of customer service experience is required.
• Taft Hartley experience and/or experience processing medical claims, pension applications, and/or benefit eligibility and enrollment is preferred
• Strong customer service skills required both on the phone and in person.
• Ability to positively and professionally manage challenging service situations.
• Ability to type a minimum of 45 words per minute.
• Able to clearly and effectively express verbally and in writing, proper use of grammar, punctuation, vocabulary, and correct spelling is required.
• Bilingual in English and Spanish preferred.
• Able to read, analyze, comprehend, and disseminate information from computer systems and legal documents.
• Ability to function calmly in a fast paced environment handling multiple priorities simultaneously with high level of detail orientation.
• Able to deal with situations of a dynamic nature; to be able to modify plans, actions, and decisions in light of changing situations and circumstances.
• Able to demonstrate an understanding, and the regular use, of a time management process; to work in an organized way; to work efficiently and effectively.
• Ability to lift, push and pull up to 10 pounds.
• Able to use desktop computer, to be able to operate menu driven window software and to be proficient in the use of Windows programs, including but not limited to Word, Excel, Outlook, and PowerPoint.