Claims Member Service Advocate

A company is looking for a Member Service Advocate - Claims.

Key Responsibilities

Manage incoming claims communication and resolve issues on existing claims

Identify roadblocks preventing claims from being paid and assist beneficiaries in completing requirements

Review documentation for accuracy and ensure compliance with procedural and regulatory requirements

Required Qualifications

High School Diploma or equivalent required; some college coursework or related specialized training preferred

LOMA281 and LOMA291 to be completed within the first year of hire

2+ years of customer service experience required; high volume call center experience preferred

Understanding of Life Insurance, HIPAA, and Privacy Act

Proficient with technology, including Microsoft Office products