Health Advocate
Why is Health Advocate a great place to work? For starters, Health Advocate employees enjoy helping people every single day. Employees are given the training they need to do their jobs well, and they work with supervisors and staff who are supportive and friendly. Employees have room to grow, and many of Health Advocate's supervisors are promoted from within the company. Join our award winning team!
Responsible for overseeing the daily tasks and workflow of assigned team of associates / specialists by providing direction and structure and aiding to answer questions using knowledge of services and benefits to help guide employees and perform necessary on the job training.
Job Responsibilities :
- Responsible for the administrative functions and supervision of an operations unit. This includes backlog and quality management for a team of Operations / Customer Service associates
- Provide organization, direction and staffing for all assigned service calls and case load assignments to ensure all calls are answered in accordance with Health Advocate's policies and procedures.
- Monitor calls and audit case files daily to ensure the proper target resolution is identified and that, if possible, the case is closed at or near the target resolution.
- Ensure assigned staff members meet or exceed the standards, results, and responsibilities of their respective positions.
- Coach, mentor, and evaluate the performance of an assigned team.
- Assist in the selection, counseling, and discipline of all staff on the team.
- Provide oversight and direction to staff for assigned cases.
- Responsible for problem-solving issues and coordinating efforts with internal departments and subject matter experts.
- Provide healthcare benefit and claims consultation and support when appropriate to all internal departments.
- Routinely evaluate and monitor service calls and case management procedures to recommend any necessary changes to the Operations Manager.
Team Interfaces / Customer Service - Establish and maintain a professional relationship with internal / external customers, team members and department contacts
Cooperate with team members to meet goals or to complete tasksProvide quality customer service that exceeds customer expectations and improves level of service being providedTreat all internal / external customers, team members, and department contacts with dignity / respectEscalate to supervisor any situation outside the employee's control that could adversely impact the services being providedMental and Physical Requirements
This position will be exposed mainly to an indoor office environment and will be expected to work near or around computers, telephones, and printersThe nature of the work in this position is sedentary and the incumbent will be sitting most of the time.Essential physical functions of the job include fingering, grasping, pulling hand over hand, and repetitive motions to utilize general computer software / hardware continuously throughout the work dayEssential mental functions of this position include concentrating on tasks, reading information, and verbal / written communication to others continuously throughout the work dayRelated Duties as Assigned
The job description documents the general nature and level of work but is not intended to be a comprehensive list of all activities, duties, and responsibilities required of job incumbentsConsequently, job incumbents may be asked to perform other duties as requiredAlso note, that reasonable accommodations may be made to enable individuals with disabilities to perform the functions outlined abovePlease contact your local Employee Relations representative to request a review of any such accommodationsMinimum Qualifications
Call center experience preferredManagement or supervisory experience in healthcare benefits or claims processing preferredStrong leadership skills and the ability to build effective teamsEffective communication skills to interact with members, physicians, and insurance carrier representatives, with an emphasis on ability to communicate both verbally and in writingAssertive, self-confident, and resilientBasic computer skillsAbility to search and identify resources through the internetDemonstrated ability to communicate concepts, strategies and plans in terminology understood by business professionalsEducation
Bachelor's Degree or applicable work experienceOther
Basic knowledge of MS Word and Excel requiredMust score acceptably on job related testingAbility to pass standardized interviewBased on assignment may need to be bilingual in English, Spanish, etc.Knowledge of the following is preferred :COBRAMedicare A, B, MediGap, Supplement plans, Medicare Advantage, Medicare Part D plansHigh deductible health plans including Health Reimbursement Accounts (HRAs) and Health Saving Accounts (HSAs)Flex Spending Accounts (FSA), including limited FSAsCoordination of benefits and which plan is primary simple cases (commercial plans, Medicare plans)Summary Plan Documents (SPDs) and Certificates of Coverage (COCs)Government programs, resources and legislation and mandates including but not limited to Affordable Care Act, FMLA, Medicaid, CHIPGroup Health Plans (fully insured and self-insured)Pharmacy benefits including injectable medicationsIndividual Health Plans and Marketplace / Exchanges plansA successful incumbent in the job will be able to demonstrate the following skills and abilities :
Strong communication skills and phone etiquetteAbility to explain complex issues to membersHighly effective listening skillsStrong problems solving / issue resolution skillsExcellent customer service and customer resolution skillsStrong Organizational and administrative skillsAbility to work in a team environmentWhy Health Advocate?
At Health Advocate, we don't just resolve claimswe build trust and provide peace of mind. Here's what you'll gain by joining us :
Purpose-Driven Work : Be a key player in simplifying healthcare for members and making a real difference in their lives.Tools for Success : Access advanced systems, comprehensive training, and the support of a collaborative team.Competitive Pay : Annual salary starting at $55,000Comprehensive Benefits : Enjoy competitive pay, robust medical, dental, and vision coverage, 401(k) with company match, PTO, and more.A Culture of Care : Join a team that values empathy, innovation, and teamwork.Your Next Move
Ready to transform challenges into resolutions and make healthcare easier for those we serve? Apply today and take the first step toward a rewarding career with Health Advocate!
Company Overview
Health Advocate is the nation's leading provider of health advocacy, navigation, well-being and integrated benefits programs. For 20 years, Health Advocate has provided expert support to help our members navigate the complexities of healthcare and achieve the best possible health and well-being. Our solutions leverage a unique combination of best-in-class, personalized support with powerful predictive data analytics and a proprietary technology platform to address nearly every clinical, administrative, wellness or behavioral health need. Whether facing common issues or an unprecedented challenge like COVID-19, our team of highly trained, compassionate experts work together to go above and beyond expectations, making healthcare easier for our members and ensuring they get the care they need.