Health Insurance Member Advocate

CommunityCare HMO Inc.; Tulsa (OK); On-site; USD 32,000 - 42,000; Full time

Job summary

CommunityCare HMO Inc. is seeking a Customer Service Representative in Tulsa, OK to be the first point of contact for membership questions and concerns. The role emphasizes outstanding service, accurate information, and first contact resolution, with collaboration within a team and adaptability to change.

The ideal candidate has a high school diploma, at least 1 year of customer service experience, and experience in a contact center or medical field is preferred. Bilingual skills are a plus.

Qualifications

• Exceptional telephone manner and customer service skills.
• Ability to resolve conflicts and diffuse tension.
• Strong time management and decision-making skills.

Responsibilities

• Process a high volume of inquiries from members, providers, and other stakeholders.
• Strive for first-call resolution with accurate information and timely responses.
• Verify eligibility, benefits, deductible amounts, claim status, copays, and coinsurance.
• Provide interpretation services as appropriate.
• Maintain professionalism and customer satisfaction in all interactions.
• Perform other duties as assigned.

Skills

Customer service

Active listening

Verbal communication

Written communication

Telephone etiquette

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

CommunityCare HMO Inc. is seeking a Customer Service Representative in Tulsa, OK to be the first point of contact for membership questions and concerns. The role emphasizes outstanding service, accurate information, and first contact resolution, with collaboration within a team and adaptability to change.

The ideal candidate has a high school diploma, at least 1 year of customer service experience, and experience in a contact center or medical field is preferred. Bilingual skills are a plus.