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BlueCard Customer Advocate I

BlueCard Customer Advocate I

HMSAKapolei, HI, United States
6 days ago
Job type
  • Full-time
Job description
  • Review, document and accurately respond, verbally or in writing, to routine and regular claims inquiries received by telephone, correspondence or internal communication, as assigned by supervisor.
  • Effectively manage inventory of unresolved inquiries to provide timely follow-up and accurate resolution to customers by :
  • Identifying issues and compiling supporting documentation necessary for Medical Management review.
  • Performing routine analysis of the root cause for customer inquiries to be utilized in process improvement plans to meet corporate goals and / or service level agreements.
  • Gain knowledge and subject matter expertise and participate in meetings on workflow changes, process improvements, and project implementations.
  • Complete or participate in corporate training, compliance certification or initiatives as directed by management.
  • Participate in and assist with training of unit staff as directed.
  • Performs all other miscellaneous responsibilities and duties as assigned or directed.
  • LI-Hybrid