Experienced Customer Service Advocate II – Healthcare Claims Resolution Specialist

At careerzynith, we're dedicated to providing exceptional customer experiences that meet the evolving needs of our members and providers. As an Experienced Customer Service Advocate II – Healthcare Claims Resolution Specialist, you'll play a vital role in resolving complex healthcare claims concerns and questions, ensuring our customers receive timely, accurate, and personalized support.

• *About careerzynith**

careerzynith is a leading healthcare organization that's passionate about delivering innovative solutions to improve the lives of our members and providers. With a commitment to excellence, we strive to create a work environment that's inclusive, supportive, and empowering. Our team is comprised of dedicated professionals who share a common goal: to provide exceptional customer experiences that exceed expectations.

• *Key Responsibilities**

As an Experienced Customer Service Advocate II – Healthcare Claims Resolution Specialist, you'll be responsible for:

• Proactively resolving members' and providers' questions and concerns using computer-based resources to find answers
• Communicating via telephone, written, web, or walk-in inquiries to guide members and providers with their healthcare needs
• Explaining benefits, solving claim concerns, and helping find a doctor via telephone calls, online chats, or e-mails
• Conducting extensive research and collaborating with other departments to find answers
• Accurately documenting questions and concerns for the success of this role
• Serving as a subject matter expert and providing recommendations, feedback, process improvements, and assistance with special projects
• Training and sharing knowledge with new team members to enhance the department's performance

• *Qualifications**

To qualify for this position, you'll need:

• A High School Diploma or equivalent
• Excellent verbal and written communication skills, including proficiency in spelling, grammar, and punctuation
• Strong human relations and organizational skills, with a demonstrated ability to handle high-stress intense situations and conversations
• Good judgment and the ability to handle confidential or sensitive information with discretion
• Ability to learn and adapt to new situations

• *Preferred Qualifications**

We prefer candidates with:

• 2 years of customer service experience or 1 year of claims or appeals processing experience and 1 year of customer service experience
• A bachelor's degree in lieu of work experience

• *What We Can Do for You**

At careerzynith, we're committed to supporting your growth and development. Here's what we offer:

• Six weeks of comprehensive training, including:
+ Best-in-class call center training program+ Peer coach to observe and provide feedback+ Open discussion conversations to ensure you're equipped to excel+ A proven curriculum providing the knowledge you need to succeed+ A training lab where you take live calls with a training supervisor close by to answer questions
• A comprehensive benefits package, including:
+ 401(k) retirement savings plan with company match+ Subsidized health plans and free vision coverage+ Life insurance+ Paid annual leave – the longer you work here, the more you earn+ Nine paid holidays+ On-site cafeterias and fitness centers in major locations+ Wellness programs and a healthy lifestyle premium discount+ Tuition assistance+ Service Recognition

• *What to Expect Next**

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Management will conduct interviews with the most qualified candidates, with prioritization given to those candidates who demonstrate the preferred qualifications.

• *Equal Employment Opportunity Statement**

careerzynith is an Equal Opportunity Employer and maintains a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information, or any other legally protected status. We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please email [email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

• *Apply Now**

Ready to join our team and make a difference in the lives of our members and providers? Apply now by clicking the link below:

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