Customer Service Advocate

Job not on LinkedIn

🔥 4 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $41.6k - $66.6k / year

⏰ 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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Blue Cross NC

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1933

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Blue Cross NC is a health insurance provider that offers a range of health plans and services to individuals and groups. The company focuses on delivering quality healthcare coverage and improving health outcomes for its members through innovative health programs and services. Blue Cross NC is committed to enhancing access to affordable healthcare while supporting the health and wellness of the communities it serves.

📋 Description

• Act as a service expert for Blue Cross NC customers, employer groups, and providers • Develop, manage, and expand customer relationships while meeting service expectations • Respond accurately, promptly, and professionally to members, employer groups, providers, and other stakeholders across phone and chat channels • Resolve customer concerns and educate customers about benefits, claims, and eligibility • Conduct training sessions at employer sites and facilitate online sessions • Support complex inquiries involving serious health conditions and complex claims or benefit issues • Screen members to determine case management needs and use administrative or clinical resources as needed • Adjust simple/routine claims for providers • Provide multi-omni-channel inbound and outbound inquiry support • Diagnose and resolve issues using probing and creative problem-solving techniques • Help customers navigate online and mobile tools and encourage self-service • Educate customers on benefit plan selections, health plan value, and quality care providers • Drive new ideas, innovation, and continuous process improvement • Engage with local, state, and federal government entities and plan participants regarding products, services, and policies • Serve as a subject matter expert or mentor for non-routine inquiries • Query, analyze, and interpret data to address customer and business needs

🎯 Requirements

• High school diploma or GED • 3+ years of experience in related field • Proven, hands-on Facets experience (bonus point) • Strong customer/member service orientation • Knowledge of benefits and eligibility • Strong claims knowledge, including the ability to review a claim and connect the claim to applicable benefits • IPP experience is preferred but not required • Active Listening • Client Issue Resolution • Customer Care • Customer Education • Customer Engagement • Customer Satisfaction • Customer Service • Customer Service Operations • Key Customer Management • People Management

🏖️ Benefits

• Annual Incentive Bonus based on annual corporate goal achievement and individual performance • 401(k) with employer match • Paid Time Off (PTO) • Competitive health benefits • Wellness programs