Customer Care Advocate

About the role

As a national healthcare management firm, WellNet creates lower cost level-funded and self-funded health insurance plans for companies offering employee benefits. With less margin, more technology and a frictionless member experience, our PPO plans, Reference Based Pricing options, and Hybrid plans lower healthcare expenses today and limit increases tomorrow. WellNet finally helps businesses and their members take back the profits from traditional health insurance companies.

Responsibilities

• Answer inbound calls from multiple call queues
• Review plan benefits to determine unique plan provisions for call handling
• Interface with providers to provide benefit plan details and updating member insurance information
• Manage claim status for providers and members
• Manage tasks with timely follow-up, which involves interaction with members, providers, and other vendors
• Ensure complete resolution of calls
• Conduct outreach for information needed to complete claims processing
• Document all calls and follow-up items
• Resolve overpayments
• Assist with new hire/open enrollment
• Perform other support duties as needed

Qualifications

• In-person position located in Trevose, PA
• College degree—minimum Associates degree
• Previous experience in a call center desired, but not required
• Experience in health insurance industry a plus
• Working knowledge of Microsoft Office
• Strong sense of professionalism and personal accountability
• Strong communication skills and phone etiquette
• Highly effective listening skills
• Problem solving

Aligned with these values: Optimism, Accountability, Respect, Intelligence, Hustle, Adaptability, Building long-term relationships

Benefits

• Health benefits
• 401k
• Ongoing training
• Paid vacation time