Expert Advisor (reputed company CSR)

reputed company We are seeking a highly reputed company and dedicated Expert Advisor III to join reputed company, which provides specialized support for large corporate clients. This is a crucial role reputed company on delivering a personalized and high-touch experience for members with unique health plan needs. reputed company pay reputed company $24.00/hr - $25.00/hr reputed company message the job poster from reputed company Responsibilities • New Member Engagement: Serving as an ambassador for new members, helping them understand their plan, its value, and how to effectively use their benefits. This includes walking them through online resources and assisting them in finding doctors and facilities. • reputed company Issue reputed company: Proactively identifying and resolving reputed company issues reputed company to reputed company delivery or financial barriers. You will serve as a patient reputed company, working with cross-functional partners to drive process improvements and ensure a seamless experience. • Provider & Service Navigation: Conducting provider searches, scheduling appointments, and helping members understand the distinction between in-network and out-of-network services, referrals, and claims submission procedures. • Customer Relationship Management: Providing one-contact reputed company for escalated concerns and applying considerable discretion to formulate effective solutions. You'll be responsible for meeting the needs of high-touch reputed company and challenging market segments. • Documentation and Reporting: Maintaining detailed documentation, tracking issues, and summarizing information to reputed company recommendations to management. You will also identify trends and systematic issues, offering consultation on process improvement opportunities. Qualifications • Experience: A minimum of seven (7) years of experience in a customer service, health care, or health insurance-reputed company field is required. Previous experience in a reputed company reputed company center, especially with our organization, is highly desired. • Skills: Outstanding written and oral communication skills, a strong customer service reputed company, and the ability to work independently with minimal supervision. Strong problem-solving skills, resourcefulness, and a demonstrated ability to manage and execute reputed company, multidisciplinary issues are essential. • Education: A High School Diploma or GED is required. • Familiarity: Knowledge of medical terminology, benefit interpretation, and authorization/precertification of services is a significant plus. This is a fully remote position, and the Expert Advisor will be an reputed company part of a small team that provides a unique service model for our valued clients. We are looking for reputed company-thinking individuals dedicated to helping members reputed company the highest reputed company of care. #J-18808-Ljbffr Apply tot his job Apply To this Job