Advocate

• Answer members’ questions through inbound calls and outbound calls
• Manage and support a specific group of members
• Ensure member issues, questions, and concerns are resolved across SCAN’s internal and external value chain
• Drive SCAN’s Concierge customer service philosophy
• Assist team leads, Concierge, and Associate Concierge staff in managing membership books of business
• Resolve member questions primarily through an inbound call queue
• Follow up on pending member issues
• Research issues to determine resolutions
• Conduct proactive outreach to members
• Perform hand-offs among team members
• Coordinate issue resolution with internal and external stakeholders
• Maintain relationships with stakeholders and provide feedback on processes, content, issues, and trends
• Document member interactions and update records
• Participate in team huddles about member issues, trends, and resolutions
• Participate in member calling projects supporting membership retention
• Follow applicable Federal and State regulatory requirements, company policies, and HIPAA requirements
• Support SCAN’s vision and goals
• Perform other duties as assigned

Concierge Advocate resolving healthcare member issues for SCAN, a nonprofit senior-care health organization

Concierge Advocate

Concierge Advocate resolving healthcare member issues for SCAN, a nonprofit health organization serving older adults. Handling high-volume calls, research, outreach, documentation, and stakeholder coordination.

• Serve at the forefront of The OccuNet Company’s experience-centric approach.
• Provide members with exceptional support by delivering high-quality, professional, and efficient service across multiple channels.
• Liaise with members and providers to resolve inquiries and assist in the navigation of Reference-Based Pricing (RBP) health plans.
• Uphold best-in-class member experiences by owning the end-to-end resolution process.
• Practice TOC’s “outward mindset” philosophy through providing empathic support to members.
• Service members as they navigate their employer-sponsored healthcare plans by quoting benefits, interpreting plan documents, and answering questions regarding claim status.
• Service providers by providing eligibility verification and answering questions regarding claim status and pricing inquiries.
• Work across cross-functional teams to establish processes that relieve challenges members are facing.
• Uphold compliance and confidentiality standards relating to HIPAA when corresponding with members or providers.

Member Benefits Advocate improving health and well-being of members at The OccuNet Company

Member Benefits Advocate

Member Benefits Advocate serving at the forefront of The OccuNet Company's healthcare approach. Providing exceptional support and navigating members through healthcare plans.

• Build the initial claimant relationship and confidence in our firm with every prospective claimant interaction
• Engage in 150 – 200 calls per day in a professional inbound/outbound call center environment
• Consistently build the claimant relationship and confidence in our partners firms with every claimant interaction while proactively contacting claimants to ensure the relationship is maintained
• Solve problems and maintain confidentiality
• Keep updated records and detailed documentation of claimant interactions, concerns, and complaints in a paperless database system
• Use good judgment to discern what issues may be urgent and need a manager’s or director’s attention immediately
• Be expected to meet occupancy and adherence goals

Intake Advocate connecting claimants to legal assistance at Tort Experts

Intake Advocate

Intake Advocate assisting potential claimants with injury claims and guiding them through eligibility processes. Engaging in high call volumes to maintain claimant relationships and confidence in legal representation.

Advocate jobs in Nevada

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Concierge Advocate

Member Benefits Advocate

Intake Advocate