Healthcare Member Advocate - Remote in Select States Only TP88915

About the Role

Member Advocates handle both inbound and outbound calls to support a healthcare client, delivering exceptional customer service while following established protocols. Advocates assist members with billing, quoting, understanding medical or pharmacy benefits, providing requested materials, researching claims, and more, using various web-based systems to ensure a seamless experience.

This position is open to Veterans, transitioning military personnel, National Guard and Reserve members, military spouses, wounded warriors, and their caregivers. Remote work is available only for candidates residing in AL, FL, GA, IN, KY, LA, MI, MS, NC, OH, OK, SC, TN, TX, UT, VA, or WV.

Responsibilities

• Answer customer inquiries with professional courtesy and provide exceptional service based on client‑specific instructions.
• Document each customer’s inquiry information into a database.
• Verify and update customer information as needed.
• Actively listen to identify opportunities to offer additional information, ensuring the best possible experience for callers and the client.
• Follow up with callers when necessary.
• Use statistical contact‑center data to improve performance.
• Adhere to shift and schedule requirements.

Requirements

• High School diploma or GED (minimum education).
• Prior call‑center or customer‑service experience is highly desired.
• Effective verbal and written communication skills.
• Ability to multitask and operate a computer, use internet search engines, and navigate multiple windows/tabs.
• Ability to sit for extended periods.
• Successful completion of a background investigation, drug screen, pre‑employment criteria testing, and internet speed test.

Work‑From‑Home Requirements

• Enclosed, secure work area with zero distractions.
• Non‑cellular high‑speed internet (Fiber, DSL, or cable) with minimum speeds of 20 Mbps download and 12 Mbps upload.
• Hotspots, satellite, and wireless internet services are not permitted.

Benefits

• Competitive benefits package.
• Paid time off (PTO).
• Growth and development opportunities.
• Seven weeks of paid, mandatory training (100 % attendance required).
• All equipment provided for remote work.

Schedule

Call‑center hours: Monday‑Friday, 8 AM – 9 PM EST; Saturday, 9 AM – 7:30 PM EST. Work‑from‑home position.