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Client Advocate I
CVS HealthClient Advocate supporting Meritain health insurance clients for CVS Health. Managing claims, enrollment, escalations, plan interpretation, and client retention.
Posted 8/10/2026full-timeRemote • Minnesota • 🇺🇸 United StatesJuniorMid-Level💰 $43,888 - $102,081 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in health insurance operations, claims management, and client relationship building, with a strong focus on customer service and operational support. Proficient in utilizing tools like Salesforce and Microsoft Office to enhance workflow and process improvements.
Highest-signal resume keywords
Health Insurance ExperienceClaims ManagementClient Relationship BuildingSalesforce ProficiencyDecision-Making Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingClient SupportOperational SupportAdministrative OperationsPDET Case Management
Soft Skills
Conflict ResolutionTime ManagementActive ListeningProfessional Communication
Tools & Technologies
SalesforceMicrosoft OutlookMicrosoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft Teams
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Meritain ProductsStop-Loss ProductsCOBRAFSAEDI Files
About the role
Key responsibilities & impact- Support service and administration of Meritain products
- Build relationships with assigned clients, brokers, and internal partners
- Monitor activity and reporting for the assigned book of business
- Provide proactive and reactive support for client issues
- Support client retention and profitable growth
- Acknowledge customer inquiries within one business day
- Create and maintain PDET cases according to policy guidelines
- Act as the single point of contact for operational inquiries and escalated issues
- Resolve issues involving claims, enrollment, ID cards, COBRA, FSA, network operations, PBM, customer service, EDI files, and finance
- Interpret plan documents and ensure client questions are addressed
- Conduct client portal training
- Support operational departments with workflow and process improvements
- Identify opportunities supporting account owners’ strategic plans
Requirements
What you’ll need- 2–3 years of experience working with health insurance
- 2–3 years of experience working with claims
- High school diploma or GED
- 2 years of relevant experience
- Previous experience with stop-loss products preferred
- DG and Salesforce experience preferred
- General knowledge of Meritain applications preferred
- Experience with Outlook, Word, Excel, PowerPoint, and Teams preferred
- Ability to meet deadlines
- Decision-making skills
- Conflict resolution, flexibility, time management, and active listening skills
- Knowledge and experience with administrative operations
- Professional written and verbal communication skills
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program eligibility