Customer Advocate I

Arkansas Blue Cross Blue Shield • Fayetteville, AR

1d

About The Position

Customer Advocate I supports our individual customers (under 65 and over 65) by providing the highest level of service, support, and education for comprehensive enrollment, membership, benefits and claims information to individuals and groups depending on the marketing service area. Incumbent must be professional, courteous, and provide outstanding customer service while maintaining a thorough knowledge of products, providing accurate information regarding claims processing and procedures, contract benefits, coordination of benefits, provider networks, and membership criteria; along with assisting retail customers with questions related to billings, collection of premium payments, and other related services.

Requirements

• High school diploma or equivalent.
• Minimum three (3) years’ experience in customer service or sales administration experience, preferably in the insurance industry, health insurance agency or provider's office.
• Customer Service
• Problem Solving
• Oral & Written Communication
• Interpersonal Communication
• Professional Judgment
• Highly Organized
• Proficiency using Microsoft Word and Excel.
• Ability to work independently or with a team.
• Active Listening
• Customer Service
• Oral Communications
• Performing Administrative Activities
• Personal Organization
• Problem Sensitivity
• Problem Solving
• Process Information
• Researching
• Results Interpretation
• Social Perceptiveness
• Teamwork

Nice To Haves

• Arkansas Health and Life Insurance License preferred.
• If licenses are not previously held, must successfully pass both health and life exams within three (3) months after coursework is assigned.
• Exchange producer license preferred.
• CMS certification for senior products preferred.

Responsibilities

• Answers high volume calls from members, providers, agents and billing services. Ensures timely, accurate and courteous response to inquiries and questions. Creates a solid working relationship with all groups by working directly with contacts as needed to resolve issues.
• Complies with retail dress and appearance standards while working retail hours as described by management.
• Consults with prospects on individual product options and determine appropriate coverage options based on coverage needs and financial status, and assists customers with completing applications necessary to apply for coverage. Promotes all products sold by the enterprise.
• Establishes premium payment arrangements for members. Accepts and processes premium payments.
• Performs other duties as requested.
• Provides comprehensive enrollment, membership, benefits & claims information for both group & individual products (depending on marketing area). Stays informed of all changes in benefits, regulations, and guidelines.
• Provides support to retail sales representatives.

Benefits

• Tuition reimbursement.
• Club Blue, a free, onsite gym to encourage exercise.
• Green Leaf Grill and Green Leaf Grill Express, onsite restaurants in Little Rock that promote healthy eating.
• Incentives for wellness education and exercise

What This Job Offers

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