Customer Service Advocate II

Centene Corporation•Remote-AR, AR
•$18 - $28

About The Position

Performs as an advocate focused on resolving routine inquiries, issues, and concerns for members and/or providers. Uses multiple communication channels to provide timely, accurate, and personalized support on routine complaints and escalations. The role works in a high-paced contact center environment and supports customers by phone, live chat, and email. Applicants must be authorized to work in the U.S. without current or future employment-based visa sponsorship. Preferred candidates have claims experience and experience working with Facets.

Requirements

  • High school diploma or GED.
  • 1–2 years of related experience.
  • May require vocational or technical education in addition to prior work experience; this may include additional on-the-job training or continuous learning education.
  • Authorization to work in the U.S. without the need for current or future employment-based visa sponsorship.

Nice To Haves

  • Claims experience.
  • Experience working with Facets.
  • Experience interacting with members and/or providers in a contact center environment.

Responsibilities

  • Assess and research routine member and/or provider inquiries, requests, and concerns to determine causes, and initiate corrective actions with other service or technical departments for follow-up as needed.
  • Mitigate and prevent complaints from escalating by resolving them during the initial contact.
  • Serve as the front-line resolution advocate for member and/or provider inquiries, requests, and concerns.
  • Support member or provider issues to ensure customers receive high-quality service.
  • Maintain performance and quality standards based on established contact center metrics.
  • Provide customer service by phone, live chat, and email in a high-paced contact center environment.
  • Document member or provider information and communications in Customer Relationship Management (CRM) applications for quality and performance tracking.
  • Stay up to date with and adhere to quality standards, regulations, and other policies to ensure quality, consistency, and compliance.
  • Provide expertise in resolving inquiries, requests, and concerns across areas of responsibility.
  • Perform other duties as assigned.
  • Comply with all policies and standards.

Benefits

  • Competitive pay.
  • Health insurance.
  • 401(k) and stock purchase plans.
  • Tuition reimbursement.
  • Paid time off and holidays.
  • Flexible approach to work with remote, hybrid, field, or office work schedules.
  • Potential additional forms of incentives, subject to applicable factors.
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