Member Experience Advocate

Posted 26ds ago

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Job Description

Member Experience Advocate assisting members with inquiries related to benefits and claims at Blue Cross and Blue Shield. Engaging members and supporting positive health outcomes through effective communication and problem-solving.

Responsibilities:

  • Handle incoming calls in a fast-paced call center environment, with occasional outbound calls and offline follow-up tasks such as provider outreach and research
  • Maintain composure and positivity while de-escalating challenging situations and managing relationships with both satisfied and dissatisfied members.
  • Apply standard operating procedures (SOP) while identifying and recommending process improvements for a better member experience.
  • Demonstrate commitment to organizational values, practices, policies, and procedures in all interactions.
  • Develop proficiency across multiple lines of business to provide flexible support and ensure continuity of service.
  • Adapt to evolving business needs by acquiring cross-functional knowledge and assisting in other operational areas.
  • Performs additional responsibilities consistent with the scope and level of the role, as assigned.

Requirements:

  • 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.

Benefits:

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