Customer Engagement - Advocate, Customer Service II

Ampcus Inc. • Baltimore, MD

10h • Onsite

About The Position

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. This role is responsible for answering member, provider & broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment. The candidate will proactively provide information and education to members, providers & brokers, as appropriate, about a variety of health, financial, and self-service programs. Additionally, the role provides basic technical assistance and troubleshooting guidance for digital and electronic applications.

Requirements

• High School Diploma or GED
• 3 years customer service experience
• Call Center Experience

Nice To Haves

• Medical Insurance background (a plus but not required)

Responsibilities

• Provides first-level problem resolution to member, provider and broker inquiries via telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as liability, validate customer understanding of information and resolves issues based on applicable policies and procedures.
• Uses knowledge of products or services by collecting and interpreting contractual provisions to provide customer information service and analyze education. Administers services through telephonic, written, and/or electronic inquiries and claims adjustments, if applicable. Appropriately documents all client interactions according to established procedures.
• Prioritize workflow & multitask efficiently in a fast-paced environment while using multiple skill sets with demonstrated proficiency.
• Delivers accurate information to customers in accordance with performance goals and objectives.
• Maintains customer advocate records by identifying underlying customer needs and guiding them to appropriate resources or programs, updating account information by effectively utilizing the business areas enrollment/inquiry tracking system & processes.
• Participates in ongoing education related to new services, industry topics, and skills.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED