Customer Experience Advocate I (Remote Available after Onsite Training)

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About the position

Responsibilities

  • Deliver an excellent customer experience for member, provider and other stakeholder inquiries via telephone in a contact center environment.
  • Adhere to a structured schedule and meet quality, attendance and production standards.
  • Strive to provide first call resolution and de-escalate calls as necessary.
  • Apply customer engagement philosophies and personality-based resolution techniques to all interactions.
  • Ensure information about Wellmark's products and services is clearly communicated.
  • Advocate value-based customer experience by handling calls relating to health benefits, claims payment, etc.
  • Develop and maintain positive relationships with members, providers and other stakeholders.
  • Ensure customer records are processed and updated timely and accurately.
  • Analyze and resolve claim-related inquiries and processing.
  • Promote and educate on self-service tools appropriately and accurately.
  • Engage and participate in team meetings, chat, corporate meetings, etc.
  • Promptly follow up on all inquiries and document resolutions.
  • Document the type of contact, reason for the inquiry, and other tracking codes.

Requirements

  • High School Diploma or GED.
  • A minimum of one year proven experience engaging with customers.
  • Experience in customer-centric role(s) with demonstrated ability to proactively develop professional customer relationships.
  • Computer literacy - basic computer skills.
  • Professional verbal and written communication skills; attention to detail.
  • Good judgment and proven problem-solving skills.
  • Ability to resolve issues and conflicts in a professional manner.
  • Ability to adapt to an ever-changing work environment; ability to multitask and manage time.
  • Basic math skills, including subtraction, addition and multiplication.
  • Willingness to be trained on additional market segments.

Nice-to-haves

  • Associate degree.
  • Demonstrated experience working within specified time constraints.
  • Prior experience and/or knowledge in health insurance or related industry.

Benefits

  • An opportunity to work remote, upon meeting performance expectations.
  • A strong focus on optimizing the customer experience.
  • A culture of respect, diversity, inclusion, and commitment to our community.
  • Access to a fitness facility, health programs, education, and services.
  • An opportunity for career advancement.
  • Exceptional employee benefits, rewards, and growth opportunities.
  • Best-in-class tuition assistance program.
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