Customer Service Advocate - Remote / Telecommute - Cynet Systems : Job Details

Customer Service Advocate - Remote / Telecommute

Cynet Systems

Job Location : all cities,AK, USA

Posted on : 2025-02-19T19:53:55Z

Job Description :
Job Description: Pay Range: $20hr - $24hr Essential Functions:
  • 35% Provides first- level problem resolution to member, provider and broker inquiries via telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as liability, validate customer understanding of information and resolves issues based on applicable policies and procedures.
  • 20% Uses knowledge of products or services by collecting and the contractual provisions that govern administration to provide customer information service and analyzing education, to interpret contractual language to the customer needs for the purpose of providing benefit utilization and limitations, to determine the need for managed care initiatives, and to administer all types of services to customers within the business segment through telephonic inquiries, written and/or electronic inquiries and claims adjustments, if applicable.
  • ppropriately documents all client interactions according to established.
  • 15% Prioritize workflow & multitask efficiently in a fast pace environment while using multiple skill sets with demonstrated proficiency.
  • 15% Delivers accurate information to customers in accordance with performance goals and objectives.
  • 10% Maintains customer advocate records by identifying underlying customer needs and guiding them to appropriate resources or programs updating account information by effectively utilizing the business areas enrollment/inquiry tracking system & processes.
  • 5% Participates in system as needed.ongoing education related to new services, industry topics, and skills.
  • Education Level: High School Diploma or GED.
  • Experience: 3 years customer service experience
Preferred Qualifications: Knowledge, Skills and Abilities:
  • Demonstrated skills as an empathetic and compassionate communicator., Advanced.
  • bility to quickly gain customer trust and confidence., Advanced.
  • Demonstrated PC navigation and data entry skills., Advanced.
  • Strong interpersonal communication skills., Advanced.
  • Good oral and written communication skills., Advanced.
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