Health Plan Advocate

BloomBloomington, IN
Remote

About The Position

Bloom, the insurance industry’s trusted growth partner, is seeking a dedicated and customer-focused Health Plan Advocate (HPA) to serve as the first point of contact for beneficiaries, brokers, and ACA-related inquiries. This role is responsible for triaging calls, resolving customer service issues, supporting enrollment and broker questions, and routing inquiries appropriately while delivering an exceptional customer experience.

Requirements

  • High school diploma or equivalent required
  • 1+ year of call center or customer service experience preferred
  • Healthcare, Medicare, ACA or insurance experience preferred
  • Strong verbal and written communication skills
  • Excellent customer service and active listening skills
  • Ability to manage high call volumes in a fast-paced environment
  • Strong problem-solving and decision-making skills
  • Proficiency navigating multiple systems and basic computer applications (Microsoft Office)
  • Ability to maintain professionalism and composure under pressure
  • Positive, team-oriented, and solutions-driven mindset

Nice To Haves

  • Bilingual (English/Spanish) is a plus

Responsibilities

  • Serve as the first point of contact for inbound inquiries related to Medicare, ACA, broker, and general customer service needs
  • Identify caller needs, provide approved information, and determine appropriate routing or escalation
  • Respond to high volumes of inbound and outbound calls, including beneficiary outreach
  • Provide general information regarding processes, timelines, eligibility, and required documentation
  • Deliver first-level resolution to customer issues whenever possible
  • Respond to inquiries through approved channels
  • Assist with enrollment and application status requests when needed
  • Provide process guidance, administrative support, and portal navigation assistance
  • Coordinate callbacks and follow-up activities as needed
  • Escalate complex, licensed, compliance-sensitive, or contracting-related inquiries
  • Capture and document all interactions accurately in designated systems
  • Maintain detailed records of customer and broker interactions
  • Schedule callbacks and ensure timely follow-up
  • Perform other duties as assigned

Benefits

  • Comprehensive health coverage
  • Long-term growth opportunities
  • Remote work environment
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