Customer Advocate

ABCBS has a mandatory Covid-19 vaccination policy for designated employees, including employees hired on or after October 1, 2021. Any qualified individual selected for a position will receive a conditional offer of employment which requires that they comply with the Mandatory Vaccination Policy for Designated Employees prior to their first date of employment. All new employees must show proof of vaccination or show proof of the first vaccination no later than the first date of employment with agreement to become fully vaccinated after employment has begun. Any qualified individual selected for a position seeking an exemption from this requirement for medical or religious reasons should complete a request for accommodation form and submit the form to the Human Resources department as described in the Mandatory Vaccination Policy for Designated Employees prior to their first date of employment and cannot begin employment unless and until such accommodation request is approved. This can be provided to you by contacting Policies@arkbluecross.com. Take the steps to start your career at Arkansas Blue Cross and Blue Shield. Job Summary Customer Advocate I supports our individual customers (under 65 and over 65) by providing the highest level of service, support, and education for comprehensive enrollment, membership, benefits and claims information to individuals and groups depending on the marketing service area. Incumbent must be professional, courteous, and provide outstanding customer service while maintaining a thorough knowledge of products, providing accurate information regarding claims processing and procedures, contract benefits, coordination of benefits, provider networks, and membership criteria; along with assisting retail customers with questions related to billings, collection of premium payments, and other related services. Requirements Education & Experience: 1. High school diploma or equivalent. 2. Three (3) years’ experience in customer service or sales administration experience, preferably in the insurance industry, health insurance agency or provider's office. 3. Proficiency using Microsoft Word and Excel. 4. Arkansas Health and Life Insurance License will be assigned, scheduled, and coordinated with regional management based upon specific business needs. If licenses are not previously held, must successfully pass both health and life exams within three (3) months after coursework is assigned. 5. Exchange Producer license and CMS Certification preferred. Specialized Knowledge & Skills Customer Service Problem Solving Microsoft Word Microsoft Excel Verbal Communication Written Communication Interpersonal Communication Professional Judgment Highly Organized Ability to work independently or with a team Professional Certification or Licenses: Arkansas Health and Life Insurance License preferred Exchange producer license preferred CMS certification for senior products preferred Skills Ability to work independently or with a team, Customer Service, Highly Organized, Interpersonal Communication, Microsoft Word, Problem Solving, Professional Judgment, Verbal Communication, Written Communication Responsibilities Must comply with retail dress and appearance standards while working retail hours as described by management., Performs other duties as requested., Retail Sales: Provides support to retail sales representatives. Consults with prospects on individual product options and determine appropriate coverage options based on coverage needs and financial status. Assists customers with completing applications necessary to apply for coverage. Promotes all products sold by the enterprise., Service: Provides comprehensive enrollment, membership, benefits & claims information for both group & individual products (depending on marketing area). Establishes premium payment arrangements for members. Accepts and processes premium payments. Answers high volume calls from members, providers, agents and billing services. Ensures timely, accurate and courteous response to inquiries and questions. Stay informed of all changes in benefits, regulations, and guidelines. Creates a solid working relationship with all groups by working directly with contacts as needed to resolve issues. Certifications Security Requirements This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual. Segregation of Duties Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual. Employment Type Regular Arkansas Blue Cross Blue Shield is an Equal Opportunity Affirmative Action employer and is subject to federal regulations pertaining to employment. Arkansas Blue Cross does not unlawfully discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, marital status, veteran status, or any other basis prohibited under federal, state or local laws governing non-discrimination in employment in every location in which the Company has facilities. Arkansas Blue Cross also provides reasonable accommodations for qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and any other state or local laws. We are committed to an inclusive and diverse work environment. You must apply using your Legal Name. Current Workers/Contingent Workers/Contractors: Apply with your existing worker account (Workday) from the enterprise network. (Do not apply from this site - apply internally only) ADA Requirements 1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting and routinely travels for work within walking distance of location of primary work assignment