Customer Care Advocate - Remote

Pearl Interactive NetworkHuntsville, AL
397dRemote

About The Position

The Remote Customer Care Advocate at Pearl Interactive Network is responsible for providing prompt, accurate, and courteous responses to customer inquiries, particularly related to Claims and Provider Enrollment. This role involves high-volume claims processing, ensuring effective customer relations, and maintaining accurate records of customer interactions. The position requires strong communication skills and the ability to handle high-stress situations while working remotely.

Requirements

  • High school diploma, GED, or equivalent education required.
  • Associate Degree preferred.
  • 2 years of customer service or call center experience preferred.
  • 2 years of experience with claims processing.
  • Knowledge of word processing, spreadsheet, and database software.
  • Excellent verbal and written communication skills.
  • Strong human relations and organizational skills.
  • Ability to handle high-stress situations and demonstrate good judgment.
  • Strong customer service skills.
  • Ability to learn and operate multiple computer systems effectively and efficiently.

Nice To Haves

  • Previous experience researching and analyzing claims.

Responsibilities

  • Provide prompt, accurate, and courteous responses to customer inquiries.
  • Perform research as needed to resolve Claims & Provider Enrollment inquiries.
  • Process high volume claims and transactions.
  • Respond accurately, timely, and courteously to various customer inquiries.
  • Document inquiries accurately and maintain records on complaints and customer comments.
  • Coordinate with other departments to resolve problems and assist with priority inquiries.
  • Provide feedback to management regarding customer problems and needs.
  • Assist with process improvements and recommend changes in procedures based on daily operations.
  • Identify and report suspected fraudulent activities and system errors.

Benefits

  • Medical, Dental, Vision, and Life Insurance
  • Paid time off
  • Paid holidays
  • 401K eligibility
  • Professional development and coaching program

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Administrative and Support Services

Education Level

High school or GED

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