This role provides prompt, accurate, thorough, and courteous responses to all telephone inquiries. The position involves performing research as needed to resolve inquiries, ensuring effective customer relations by responding accurately, timely, and courteously. It also includes accurately documenting inquiries, initiating minor/clerical adjustments based on provider requests, and coordinating with other departments to resolve problems. The advocate will respond to, research, and assist with priority inquiries and special projects as required by management. Additionally, the role involves providing feedback to management regarding customer problems, questions, and needs, maintaining accurate records on complaints and/or other customer comments, and making recommendations for changes. The advocate will follow through on complaints until resolved or report to management as needed. Maintaining basic knowledge of quality work instructions and company policies, assisting with process improvements through the recommendation of changes in procedures and techniques, and maintaining all departmental productivity, quality, and timeliness standards are also key aspects. The role also requires identifying and promptly reporting or referring suspected fraudulent activities and system errors to the appropriate departments.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
501-1,000 employees