Customer Advocate I

Arkansas Blue Cross and Blue Shield; Rogers (AR); On-site; USD 35,000 - 45,000; Full time

Job summary

A leading insurance company seeks a Customer Advocate I to provide exceptional service and support for individual customers. This role requires strong communication skills and at least three years of customer service experience. The incumbent will assist with enrollment, benefits, and claims information while maintaining a thorough knowledge of products and services.

Qualifications

• Minimum three years’ experience in customer service or sales administration, preferably in insurance.
• Arkansas Health and Life Insurance License preferred.

Responsibilities

• Answers high volume calls from members and providers, ensuring timely and accurate responses.
• Consults with prospects on individual product options and assists with applications.

Skills

Customer Service

Problem Solving

Oral & Written Communication

Interpersonal Communication

Professional Judgment

Highly Organized

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Job description

Join to apply for the Customer Advocate I role at Arkansas Blue Cross and Blue Shield

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To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here.

Applicants must be eligible to begin work on the date of hire. Applicants must be currently authorized to work in the United States on a full-time basis. ARKANSAS BLUE CROSS BLUE SHIELD will NOT sponsor applicants for work visas in this position.

Arkansas Blue Cross is only seeking applicants for remote positions from the following states:

Arkansas, Florida, Georgia, Illinois, Kansas, Louisiana, Minnesota, Mississippi, Oklahoma, South Carolina, Tennessee, Texas, Virginia and Wisconsin.

Workforce Scheduling

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

• This position is 100% onsite in our Rogers Blue Store. NO remote option is available.**
  
  
  

Education
High school diploma or equivalent.

Licensing/Certification
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.

Experience
Minimum three (3) years’ experience in customer service or sales administration experience, preferably in the insurance industry, health insurance agency or provider's office.

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
Ability to work independently or with a team (Inactive), Customer Service, Group Problem Solving, Highly Organized (Inactive), Interpersonal Communication, Microsoft Word, Professional Judgment, Verbal Communication, Written Communication

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

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, or 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.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Insurance

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