Customer Service Advocate I

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🔥 12 minutes ago

🐎 Kentucky, North Carolina, +2 more states – Remote

🐎 Kentucky – Remote 🌲 North Carolina – Remote 🎸 Tennessee – Remote ⚔️ Virginia – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

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CGS Administrators, LLC

WebsiteLinkedInAll Job Openings

501 - 1000 employees

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B • Fraud Prevention

CGS Administrators, LLC is a company that provides scalable administrative services focused on optimizing operational performance and reducing costs for health plans. With over 50 years of experience, CGS delivers a range of services including credentialing, member services, claims processing, and fraud prevention to the Centers for Medicare & Medicaid Services (CMS) and various healthcare providers. Their aim is to streamline operations and enhance customer satisfaction, contributing positively to the healthcare delivery system.

📋 Description

• Provide prompt, accurate, thorough and courteous responses to all customer inquiries • Perform research as needed to resolve inquiries • Ensure effective customer relations by responding accurately, timely and courteously to telephone, written, web, or walk-in inquiries • Accurately document inquiries • Initiate or process adjustments or perform other research as needed to resolve inquiries • Coordinate with other departments to resolve problems • Respond to, research and/or assist with priority inquiries and special projects as required by management • Provide feedback to management regarding customer problems, questions, and needs • Maintain accurate records on complaints and/or other customer comments and make recommendations for changes to management • Follow through on complaints until resolved or report to management as needed • Maintain basic knowledge of quality work instructions and company policies • Assist with process improvements through the recommendation of changes in procedures and techniques discovered during daily operations • Maintain all departmental productivity, quality, and timeliness standards • Identify and promptly report and/or refer suspected fraudulent activities and system errors to the appropriate departments

🎯 Requirements

• High School Diploma or equivalent • Excellent verbal and written communication skills • Strong human relations and organizational skills • Ability to handle high stress situations • Good judgment skills • Strong customer service skills • Ability to learn and operate multiple computer systems effectively and efficiently • Knowledge of word processing, spreadsheet, and database software (preferred) • 2 years of customer service or call center experience (preferred)

🏖️ Benefits

• Subsidized health plans • Dental and vision coverage • 401k retirement savings plan with company match • Life Insurance • Paid Time Off (PTO) • On-site cafeterias and fitness centers in major locations • Education Assistance • Service Recognition • National discounts to movies, theaters, zoos, theme parks and more