Customer Care Advocate

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.

About the role

Reports to: Manager Advocate Services

This is an in-person position located in Trevose, PA.

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 update member insurance information
• Provide claim status for providers/members
• Manage tasks with timely follow-up, involving interaction with members, providers, and other vendors to ensure complete resolution of calls
• 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

• College degree – minimum Associate’s degree
• Previous experience in a call center desired, but not required
• Experience in the 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 ability

Values

• Optimism
• Accountability
• Respect
• Intelligence
• Hustle
• Adaptability
• Building long-term relationships

Benefits

• Competitive compensation package
• Health benefits
• 401k
• Ongoing training
• Paid vacation time