Customer Advocate I

01 USAble Mutual Insurance Company; Fayetteville (AR); Presencial; USD 35.000 - 45.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Tuition reimbursement

Club Blue onsite gym

Green Leaf Grill onsite restaurants

Wellness incentives

Descripción de la vacante

Arkansas Blue Cross and Blue Shield is seeking a Customer Advocate I to assist individual customers with enrollment, benefits and claims information. The role emphasizes high-quality service, accurate guidance, and knowledge of products, provider networks, and billing procedures.

The person will handle inquiries from members and partners, promote available products, and coordinate payments while maintaining professional conduct and strong problem-solving skills.

Formación

• High school diploma or equivalent required.
• Arkansas Health and Life Insurance License preferred; if not held, pass health and life exams within three months.
• Exchange producer license preferred; CMS certification for senior products preferred.

Responsabilidades

• Answers high volume calls from members, providers, agents and billing services; ensure timely, accurate, courteous responses.
• Adhere to retail dress and appearance standards and standard retail hours.
• Consult with prospects on individual product options and determine appropriate coverage options; assist customers with applications.
• Establish premium payment arrangements and process payments.
• Perform other duties as requested.
• Provide enrollment, membership, benefits & claims information for group and individual products; stay informed of changes in benefits and regulations.
• Support retail sales representatives.

Conocimientos

Active Listening

Customer Service

Oral Communications

Personal Organization

Problem Solving

Interpersonal Communication

Professional Judgment

MS Word & Excel

Educación

High School Diploma or equivalent

Health and Life Insurance License preferred

Herramientas

Microsoft Word

Microsoft Excel

Descripción del empleo

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. Job Summary Customer Advocate I supports our individual customers (under 65 and over 65) by providing the highest level of service, support, and education for comprehensive enrollment, membership, benefits and claims information to individuals and groups depending on the marketing service area. Incumbent must be professional, courteous, and provide outstanding customer service while maintaining a thorough knowledge of products, providing accurate information regarding claims processing and procedures, contract benefits, coordination of benefits, provider networks, and membership criteria; along with assisting retail customers with questions related to billings, collection of premium payments, and other related services.

Requirements

High school diploma or equivalent. Arkansas Health and Life Insurance License preferred. If licenses are not previously held, must successfully pass both health and life exams within three (3) months after coursework is assigned. Exchange producer license preferred. CMS certification for senior products preferred.

ESSENTIAL SKILLS & ABILITIES

Customer Service Problem Solving Oral & Written Communication Interpersonal Communication Professional Judgment Highly Organized Proficiency using Microsoft Word and Excel. Ability to work independently or with a team.

Skills

• Active Listening
• Customer Service
• Oral Communications
• Performing Administrative Activities
• Personal Organization
• Problem Sensitivity
• Problem Solving
• Process Information
• Researching
• Results Interpretation
• Social Perceptiveness
• Teamwork

Responsibilities

• Answers high volume calls from members, providers, agents and billing services. Ensures timely, accurate and courteous response to inquiries and questions. Creates a solid working relationship with all groups by working directly with contacts as needed to resolve issues.
• Complies with retail dress and appearance standards while working retail hours as described by management.
• Consults with prospects on individual product options and determine appropriate coverage options based on coverage needs and financial status, and assists customers with completing applications necessary to apply for coverage. Promotes all products sold by the enterprise.
• Establishes premium payment arrangements for members. Accepts and processes premium payments.
• Performs other duties as requested.
• Provides comprehensive enrollment, membership, benefits & claims information for both group & individual products (depending on marketing area). Stays informed of all changes in benefits, regulations, and guidelines.
• Provides support to retail sales representatives.

Certifications

Hiring Range $25.23 - $32.77

Security Requirements

This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, and unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual. Segregation of Duties Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.

Employment Type

Regular ADA Requirements 2.2 General Office Worker, Semi-Active, Local Travel - someone who normally works in an office setting or remotely, periodically has lifting and carrying requirements up to 40 lbs and routinely travels for work within the metropolitan area by vehicle as essential functions of the job.

Why? We Love our Employees

At Arkansas Blue Cross, we care about the health, wellness, and education of our employees. We offer many great incentives such as:

• Tuition reimbursement
• Club Blue, a free, onsite gym to encourage exercise
• Green Leaf Grill and Green Leaf Grill Express, onsite restaurants in Little Rock that promote healthy eating
• Incentives for wellness education and exercise

We Love our Culture

The average tenure is 10 years with hundreds of employees having been here 15 years or longer. Our inclusive culture brings employees together to connect while celebrating our differences.

We Love our Community

Our employees often volunteer within their communities, at charity events, walks and runs, schools and nonprofits. When disasters strike, our employees help wherever they are needed. It’s just another way we show that Blue cares.