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Full job description
Customer Service Advocate, $19/hour
Contract to hire, Desired Start: 2/3/2025
Remote IL. 8-5 PM CST/9-6 EST
Position Purpose:
Serves as the first-line advocate who focuses on resolving inquiries, issues, or concerns for members and/or providers. Leverages a variety of communication channels to provide members and/or providers with timely, accurate, and personalized support on routine complaints. Previously known as Customer Service Representative or Call Center Representative.
Responsibilities:
- Receives and responds to routine member and/or provider inquiries, requests and/or concerns in an accurate and timely manner
- Mitigates and prevents complaints from being escalated to resolve in initial contact.
- Serves as the front-line resolution advocate on various member and/or provider inquiries, requests, or concerns
- Resolves basic problems by communicating the requested information regarding the assessment of the member or provider needs, understanding the cause, and determining if problems need to be routed to other departments for further resolution
- Maintains performance and quality standards based on established contact center metrics
- Provides customer service in a high pace contact center environment over the phone, via live chats and emails
- Documents all member or provider information and communications for quality and performance tracking through the Customer Relationship Management (CRM) applications
- Remains up-to-date and adheres to quality standards, regulation, and all other policies to ensure quality, consistency, and compliance
Performs other duties as assigned - Complies with all policies and standards
Education Requirement:
- High School Diploma or GED
Experience Required:
- Call Center/Customer Service experience
- Problem solving and critical thinking skills
- Ability to multi-task working independently from home free of distractions
- Ability to work with 4 or more systems Simultaneously
- Interpersonal skills
Experience Preferred:
- 2-year call center experience
- 2 years claims experience
- Medicaid Knowledge
- Previous experience with Microsoft computer applications
- Previous experience working remotely using multiple applications and screens
Responsibilities
General Job Responsibilities:
- Task Execution: Completing daily tasks and projects as assigned.
- Collaboration: Working with team members and other departments to achieve goals.
- Reporting: Documenting progress and reporting to supervisors or managers.
- Problem-Solving: Addressing issues that arise and proposing solutions.
Sector-Specific Responsibilities:
- IT: Developing software, managing networks, or providing technical support.
- Finance: Analyzing financial data, preparing reports, and ensuring compliance.
- Sales/Marketing: Engaging with customers, promoting products, and analyzing market trends.
- Healthcare: Providing patient care, conducting research, or managing health services.
Benefits
- Salary Packages: Competitive salaries vary by industry, role, and experience.
- Health Insurance: Many employers offer medical coverage for employees and their dependents.
- Annual Leave: Employees typically receive 10-15 days of annual leave, depending on company policy and tenure.
- Retirement Benefits: Employees contribute to the Social Security System (SSS), providing savings for retirement.
- Training and Development: Opportunities for professional development and skill enhancement.
- Flexible Working Arrangements: Some companies offer remote work options or flexible hours.
Increment Process
- Performance Reviews: Employees typically undergo annual performance evaluations to assess their contributions and achievements.
- Salary Increments: Increments are often tied to performance reviews, market trends, and company profitability. Generally, increments can range from 5% to 15% based on performance.
- Promotion Pathways: Employees demonstrating consistent performance may be considered for promotions, leading to higher salary increments and new responsibilities.
- Market Adjustments: Companies may also conduct market salary surveys to adjust salaries in line with industry standards.
