BevCap Members Advocate

Position Overview: The BevCap Member Advocates will provide outstanding service to the clients and members. They take a proactive approach to help the members understand their benefits and/or resolve claim issues. Our goal is to build trusting relationships with the members and clients.

Key Responsibilities:

• Research and resolve customer service inquires by reaching out departmentally and then follow up until the resolution has been completed as well as answers member/group questions.
• Make outbound calls daily to achieve resolution of inquiries while maintaining outstanding service.
• Working knowledge of El Dorado and Windows.
• Researches claims in depth while maintaining outstanding service.
• Resolves provider/claim issues.
• Trend types of calls received and advise department or unit of possible issues.
• Works closely with Account Manager/Analyst/Claims Manager
• Attends mandatory workshops and biweekly team meetings.
• Performs other duties as assigned.

Qualifications:

• High school diploma or equivalent. Experience and education may be substituted for one another.
• At least one year of customer service/call center experience.
• Medical background a plus (medical office, medical facility, etc.).
• Knowledge of professional customer service practices.
• Skill in organizational, interpersonal and written communication.
• Ability to adapt to a constantly changing environment.
• Ability to multi-task.
• Ability to accurately compile data and perform detailed work.
• Ability to meet deadlines.
• Ability to maintain regular attendance.
• Ability to maintain confidentiality of material and information.
• Ability to maintain professional appearance and demeanor.
• Ability to work as a member of a team.

Work Environment / Physical Requirements

• Must be able to remain in a stationary position for 80% of the time.
• Must use close visual acuity to perform an activity such as: preparing and analyzing data and figures, transcribing, viewing a computer terminal and expansive reading.
• Must be able to lift or move items up to 20lbs.
• Must have the ability to move files, open filing cabinets and bend or stand as necessary.

The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice

Soluta, Boon-Chapman, Prime Dx is an equal opportunity employer committed to diversity and inclusion. We encourage qualified individuals from all backgrounds to apply.