Note: The job is a remote job and is open to candidates in USA. Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. The company is seeking a highly motivated Customer Engagement Advocate to manage inquiries related to product information, benefits, claims resolution, eligibility, and billing in a call center environment. The role involves providing information and education to members, providers, and brokers, as well as basic technical assistance for digital applications.

Responsibilities

• 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
• Uses knowledge of products or services by collecting and interpreting contractual provisions to provide customer information service and analyze education. Administers services through telephonic, written, and/or electronic inquiries and claims adjustments, if applicable. Appropriately documents all client interactions according to established procedures
• Prioritize workflow & multitask efficiently in a fast-paced environment while using multiple skill sets with demonstrated proficiency
• Delivers accurate information to customers in accordance with performance goals and objectives
• 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
• Participates in ongoing education related to new services, industry topics, and skills

Skills

• High School Diploma or GED
• 3 years customer service experience
• Call Center Experience
• Medical Insurance background (a plus but not required)

Company Overview