Customer Experience Advocate I (Remote Available after Onsite Training)

Wellmark Blue Cross and Blue Shield; Sioux Falls (SD); Remote; USD 35,000 - 50,000; Full time

Job summary

Join a leading health insurance provider as a Customer Experience Advocate in Sioux Falls. This role involves engaging with members to provide exceptional customer service, while managing inquiries through various communication methods. We value compassion and seek individuals who are eager to support our members’ health insurance needs. Enjoy the opportunity for career growth, a supportive team culture, and rewarding work as part of our mission to improve healthcare experiences.

Benefits

Remote work eligibility after training

Excellent employee benefits

Best-in-class tuition assistance program

Health and fitness programs

Qualifications

• Minimum of one year experience engaging with customers.
• Ability to maintain professional relationships and resolve conflicts.
• Basic computer skills to navigate information sources and word processing.

Responsibilities

• Provide accurate, prompt responses to inquiries over the phone.
• Develop trust and positive relationships with members and providers.
• Ensure customer records are accurately processed and updated.

Skills

Verbal communication

Problem-solving

Customer engagement

Computer literacy

Empathy

Education

High School Diploma or GED

Job description

• Full-time
• Department: Customer Experience Advocate
• Work Environment: Remote Eligible after in-person training
• Pay Grade: 12

Job Description

Do you love sharing your compassion and empathy for others in the workplace? Is delivering a phenomenal customer experience important to you? If so, then it's a great time to consider growing your career with Wellmark!

About the opportunity: Our Operations division is currently seeking multiple talented, curious, and compassionate Customer Experience Advocates (CXA) that are eager to serve as trusted partners in navigating their health insurance needs Your days will be filled with phone calls from our members providers and other stakeholders. Sometimes the work can be challenging and complex but will also be rewarding for those who want to make an impact by serving on the front lines to support our members. The CXA will provide accurate, prompt, courteous, and professional responses to member, provider or other stakeholder inquiries over the phone.

Aside from meaningful-challenging work, we offer:

• An opportunity to work remote, upon meeting performance expectations
• A strong focus on optimizing the customer experience – our mission is to Make Health Care Better!
• A culture of respect, diversity, inclusion, and commitment to our community
• A culture of individuals who are curious, committed, and connected
• A workplace that values health with access to a fitness facility, health programs, education, and services
• An opportunity for career advancement
• Exceptional employee benefits, rewards, and growth opportunities
• Best-in-class tuition assistance program (we will help pay off any current student loans you might have previously incurred!)

The start date for this training class is Monday, August 25th. This position requires that you work onsite in one of our three offices in Des Moines, Iowa, Cedar Rapids, Iowa, or Sioux Falls, South Dakota for a minimum of 12-weeks and you are effectively meeting attendance and performance goals. This training builds every day and prepares you to be comfortable and confident as a Customer Experience Advocate. It is critical to your success that you take no time off during this training program.

Hours:

The hours for this position are 8:30 am - 5:00 pm, Monday – Friday. No nights or weekends!

Working Remotely:

Once you have successfully completed onsite training and are effectively demonstrating attendance and performance expectations, you will have the flexibility to either work onsite, remotely from home, or as hybrid, which allows you to balance working from home some days with working in the office other days. The choice is yours!Please note:If you choose to work fully remoteor hybridafter the training, this role requires you to have your own reliable high-speed internet and a quiet, private space in your home to discreetly take calls to ensure information confidentiality. You must have access to a non-cellular, non-satellite internet service provider, and the ability to directly connect your Wellmark issued computervia ethernet cableinto your ISP modem to allow for the best connection and call quality. If you experience consistent issues with your internet provider or your upload and download speeds are not adequate, you will be asked to work from the office. The minimum speed should be 10 mbps upload and 10mbps download. You can check your internet speedhere -

* Employees working fully remote will still be asked to report to a Wellmark office occasionally for key meetings, etc., and you may be asked to return to the office for additional training, if your performance falls below expectations.

Qualifications

Required:

• High School Diploma or GED.
• A minimum of one year proven experience engaging with customers (e.g. retail, service, health care provider, nursing, care giver, or teacher).
• Experience in customer-centric role(s) with demonstrated ability to proactively develop professional customer relationships by listening, understanding, anticipating, and providing solutions to customer needs.
• Computer literacy – basic computer skills, such as accessing common web and desktop applications, navigating multiple sources of information and word processing.
• Professional verbal and written communication skills; attention to detail (use of proper sentence structure, proper grammar, with the ability to synthesize member information into a consumable format).
• Good judgment and proven problem-solving skills and ability to think independently.
• Ability to resolve issues and conflicts in a professional manner, while maintaining composure and confidence. Displays empathy and discerns stakeholders’ true intent.
• Collaborates with team members to accomplish goals or outcomes. Builds trust and connects with others, in order to complete work.
• Ability to adapt to an ever-changing work environment; ability to multitask and manage time.
• Basic math skills, including subtraction, addition and multiplication.
• Willingness to be trained on additional market segments, as business need dictates.
• Ability to come into the office when requested (i.e. team meetings, training, etc.).

Preferred:

• Demonstrated experience working within specified time constraints, such as first call resolution, average speed of answer, etc.
• Prior experience and/or knowledge in health insurance or related industry.

Additional Information

a. Responsible for delivering an excellent customer experience for member, provider and other stakeholder inquiries via telephone in a contact center environment, while adhering to a structured schedule and meeting quality, attendance and production standards. Strives to provide first call resolution and de-escalates calls, as necessary.

b. Apply customer engagement philosophies and personality-based resolution techniques to all interactions. Integrate Wellmark’s customer experience principles into day-to-day interactions. Anticipate customers’ needs to make it easy to do business with Wellmark.

c. Ensure information about Wellmark’s products and services is clearly communicated by responding accurately, promptly and professionally. Advocate value-based customer experience by handling calls relating to health benefits, claims payment, etc.

d. Develop and maintain positive relationships withmembers, providers and other stakeholders by using Wellmark-approved methodologies to understand, anticipate, and provide solutions to customer needs. Ensure customers understand their products, benefits, tools and how to use them.

e. Ensure customer records (i.e. claims, membership and/or billing) are processed and updated timely and accurately. Identify and utilize appropriate resources to resolve customer inquiries.

f. Responsible for the analysis and appropriate resolution(s) of claim-related inquiries and processing. Will research, interpret and educate the customer regarding the claim(s) and will then determine next steps required in order to accurately process claims and outstanding claims inquiries.

g. Develop and maintain a strong business acumen within Wellmark market segments/lines of business and group benefit designs.

h. Promote and educate on self-service tools appropriately and accurately. Facilitate and teach customers to use appropriate resources/ tools and how to access health care information to manage health care costs most effectively.

i. Engaged and participate in team meetings, chat, corporate meetings, etc.

j. Promptly follow up on all inquiries and document resolutions. Responsible for the accurate recording and documentation in Wellmark’s system. Will document the type of contact, reason for the inquiry, and other tracking codes, which ensures the sharing of the “customer experience,” members concerns, and trends to the rest of the company.

k. Other duties as assigned.

An Equal Opportunity Employer

The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.

Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at [e-mail]