Customer Service Ambassador

Job not on LinkedIn

🔥 2 hours ago

🥔 Idaho, Oregon, +2 more states – Remote

🥔 Idaho – Remote 🌲 Oregon – Remote ⛷️ Utah – Remote ☕ Washington – Remote

💵 $24 - $42 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Cambia Health Solutions

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Cambia Health Solutions is a nonprofit, mission-driven healthcare company based in Portland, Oregon, that operates consumer-focused health care and health insurance businesses and invests in health innovation. It serves as the parent organization for the Regence family of health plans and runs initiatives and subsidiaries focused on improving care delivery, providing insurance products, and developing digital health tools and services.

📋 Description

• Serve as the Partners in Care department's subject matter expert • Support and coach Customer Service staff • Handle and resolve escalated and complex calls, claims, and inquiries from members, providers, employer groups, and healthcare professionals • Research and resolve claims, benefit administration errors, appeals, and correspondence issues according to company policy and regulations • Explain benefits, eligibility, claims procedures, pre-authorizations, and grievance/appeal processes • Coach, mentor, and support Customer Service staff through one-on-one guidance, help line support, training, and onboarding • Collaborate with Medical, Legal, Provider Relations, Claims, and Pharmacy Services • Analyze data and trends to identify recurring issues • Provide ongoing education and recommendations to Customer Service leadership • Ensure issue resolution aligns with corporate policy and regulatory requirements • Serve as subject matter expert on company policies, products, processes, and Coordination of Benefits

🎯 Requirements

• High school diploma or GED required • Minimum of 3 years of progressive member service experience • Equivalent combination of education and relevant technical work experience may be considered • Ability to report, analyze, and identify data trends to develop courses of action and evaluate outcomes • Ability to accurately assess member inquiries and requirements, establish rapport, identify errors, and determine corrective steps • Dependability, member and provider focus, and adherence to departmental performance criteria • Experience with AI tools and technologies highly desired • Work-from-home setup with wired internet that is not satellite or cellular, minimum 5 Mb upload and 10 Mb download speeds • Access to a personal mobile device for MFA setup • Successful background check required

🏖️ Benefits

• 5% bonus target • Medical, dental and vision coverage for employees and eligible family members, including mental health benefits • Annual employer contribution to a health savings account • Generous paid time off varying by role and tenure • 10 company-paid holidays • Market-leading retirement plan including company match on employee 401(k) contributions • Potential discretionary retirement contribution based on company performance, with no vesting period • Up to 12 weeks of paid parental time off, subject to eligibility • Award-winning wellness programs that reward participation • Employee Assistance Fund • Commute and parking benefits • Flexible work-from-home options • Employee resource groups • Cambia-supported community outreach opportunities • Required wired internet connection and minimum internet speeds for work-from-home arrangements • Personal mobile device access for Multi-Factor Authentication