Member Experience Advocate

🔥 14 hours ago

❄️ Minnesota – Remote

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💵 $23 - $24 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Logo of Blue Cross and Blue Shield of Minnesota

Blue Cross and Blue Shield of Minnesota

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

🍽️ Food & Beverage

Healthcare • Consulting • Food & Beverage

Blue Cross and Blue Shield of Minnesota is a nonprofit health insurance provider serving individuals, families, employers, and government programs across Minnesota. It offers a broad range of plans including individual & family coverage, employer-sponsored group plans, Medicare Advantage and supplement plans, Medicaid/Medical Assistance programs, dental and vision coverage, and prescription drug benefits, while maintaining large in-network provider access and member tools for claims, cost transparency, and care management. The organization also provides extensive resources for providers and agents, focuses on lowering total cost of care, and runs community and behavioral health initiatives.

📋 Description

• Deliver a compassionate and seamless experience by assisting members/providers with detailed inquiries related to benefits, eligibility, and claims • Handle incoming calls in a fast-paced call center environment • Make occasional outbound calls and complete offline follow-up tasks such as provider outreach and research • Maintain composure and positivity while de-escalating challenging situations and managing relationships with satisfied and dissatisfied members • Apply standard operating procedures (SOP) • Identify and recommend process improvements for a better member experience • Demonstrate commitment to organizational values, practices, policies, and procedures • Develop proficiency across multiple lines of business to provide flexible support and ensure continuity of service • Acquire cross-functional knowledge and assist in other operational areas • Perform additional responsibilities consistent with the scope and level of the role, as assigned

🎯 Requirements

• Must reside in Minnesota to be eligible for this position • High-speed, land-based internet service is required • Internet connection must be hard-wired from your router to company-provided equipment • 1+ years of related work experience • High school diploma (or equivalent) • Ability to work a weekly schedule that is shifted to enable the organization to meet member and business needs • Preferred: Ability to communicate clearly with varied internal contacts, actively listen to clarify needs, and ensure accurate and timely information exchange • Preferred: Ability to recognize patterns in recurring issues, gather relevant information, and collaborate with others to implement practical solutions • Preferred: Ability to organize and prioritize tasks across assignments, manage time effectively, and adjust to shifting workloads while maintaining accuracy • Preferred: Healthcare or related industry experience • Preferred: Customer service and call center experience • Preferred: Ability to work in a cross functional environment with both internal and external stakeholders • Preferred: Demonstrated resiliency, empathy, and ability to encourage and empower members to take actions to improve their health outcomes • Preferred: Demonstrated ability in making timely service oriented decisions that align with corporate procedures and protocol • Preferred: Ability to interpret and communicate analytical information to both individuals and clients in a clear and concise manner within and outside the organization • Preferred: Demonstrated skills in conflict resolution

🏖️ Benefits

• Paid training provided • Medical, dental, and vision insurance • Life insurance • 401k • Paid Time Off (PTO) • Volunteer Paid Time Off (VPTO)

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