Customer Care Advisor providing exceptional service and support for insured members at USAble Life. Responsibilities include navigating inquiries, processing claims, and advocating for customers with empathy.
Responsibilities
Demonstrates expertise in our products and services
Provides exceptional service by listening, understanding, and demonstrating empathy for the caller's needs and situation
Reviews and expertly explains coverage provisions, claim status, completes appropriate follow-up activities regarding coverage and claims and other service inquiries as assigned
Effectively navigates multiple systems to answer more complex inquiries, investigates payment, and resolves concerns with a high degree of professionalism
Acts as a member advocate by answering customer questions, offering alternative solutions, anticipating member needs, where appropriate, and setting expectations for future experience with USAble Life
With increasing levels of independence processes and inputs policy premium information in appropriate systems and notifies companies of billing discrepancies
Effectively works within the service teams, across teams, and with management to resolve customer requests, inquiries, and concerns.
Partners with management to provide training and guidance to less experienced team members
Maintains well-written and thorough documentation of service interactions to ensure comprehension by team members and customers
Works cohesively as a team to meet customer service performance metrics
May perform other duties as assigned
Requirements
High School Diploma or equivalent
2 years of customer service experience
Some college course work and/or secondary training in Insurance Field preferred
LOMA 280/290 or 281/291 certification preferred
Experience in healthcare, medical provider, insurance, medical terminology, claims processing and/or medical coding preferred
SalesForce and/or CRM tool working knowledge and/or experience preferred
Benefits
Outstanding and affordable benefits package
Yearly bonus potential and annual increases
PTO provided at date of hire
11 paid holidays
401(k) with up to 6% match; fully vested from day 1
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