Customer Care Advocate

divh2Customer Care Advocate/h2pThe Customer Care Advocate provides customer service to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status. Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role./ph3Key Duties and Responsibilities/h3ulliMaintains current knowledge of assigned Plan(s) and effectively applies knowledge in all job functions./liliProvides written, verbal, or face-to-face customer service by responding to and documenting telephone and written inquiries in accordance with various Plan(s) benefits./liliUpdates files, including documenting system notes of conversations or action taken./liliPerforms tasks associated with the administration of retirement and health and welfare benefits such as:/liulliProcessing and/or sending mailers or required forms as requested by members./liliProcessing and/or sending correspondence related to member or claims status./liliProcessing enrollments and updating member information in applicable system(s)./liliDistributing communications related to regulatory requirements./li/ulliInitiates Action Requests to appropriate departments requesting adjustments to claims, retirement, and/or eligibility as necessary. Follows up to ensure successful completion of Action Request./liliResearches and resolves complex and technical issues and irregularities./liliPerforms other duties as assigned./li/ulh3Minimum Qualifications/h3ulliHigh school diploma or GED./liliSix months of experience working in customer service, third-party administrator processing, or benefits administration./liliStrong work ethic and team player mentality./liliHighly developed sense of integrity and commitment to customer satisfaction./liliAbility to communicate clearly and professionally, both verbally and in writing./liliSolid organization skills with strong detail orientation and listening skills./liliAbility to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations./liliProficient computer skills including MS Office tools and applications./li/ulh3Preferred Qualifications/h3ulliCall center experience in benefits claims, billing, or eligibility./liliBilingual./li/ulh3Working Conditions/Physical Effort/h3ulliProlonged periods of sitting at a desk and working on a computer./liliMust be able to lift up to 15 pounds at times./li/ulh3Disability Accommodation/h3pConsistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, it is the policy of Zenith American Solutions to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Recruiting Department at View email address on click.appcast.io, and we would be happy to assist you./ppCompensation: $20.00/hr/ppZenith American Solutions/ppReal People. Real Solutions. National Reach. Local Expertise./p/div