Client Advocate I

CVS Health•Work At Home-Minnesota, MN

4d•$43,888 - $102,081•Onsite

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Client Advocate supports service & administration of Meritain products to achieve client satisfaction and profitable growth by building relationships with assigned clients, brokers and internal partners, monitoring activity and reporting for the assigned book of business, proactive & reactive support of client issues and supporting client retention.

Requirements

2-3 years of experience working with health insurance.
2-3 years of experience working with claims.
High school diploma or GED + 2 years relevant experience

Nice To Haves

Previous experience with stop-loss products.
DG & Salesforce experience.
General knowledge of Meritain applications.
Experience in Outlook, Word, Excel, PowerPoint, and Teams.
Ability to meet deadlines.
Decision-making skills.
Conflict resolution, flexibility, time management, and active listening skills.
Knowledge and experience with administrative operations.
Professional written & verbal communication skills.
Associate’s Degree preferred.

Responsibilities

Services assigned book of business.
Acknowledges customer’s inquiry within one business day.
Creates and maintains PDET (Product Design Engineering Technology) cases as outlined in policy guidelines.
Acts as the single point of contact for client’s operational inquiries and escalated issues. Resolutions to include (but not are not limited to) claims, enrollment, ID cards, COBRA (Consolidated Omnibus Budget Reconciliation Act), FSA (Flexible Spending Account), network operations, PBM (Pharmacy Benefit Manager), customer service, EDI (Electronic Data Interchange) files, and finance.
Provides plan document interpretation and ensures the client’s questions are addressed.
Conducts client portal training.
Supports operational departments to enhance the member experience through improved workflows and process improvements.
Identifies opportunities that support account owners in developing and delivering strategic plans.