Advocate

• Provides outstanding support to inbound callers regarding Health Spending Account, COBRA, Retiree or Exchange inquiries and requests.
• Assists with enrollment related to Health Spending Account, COBRA, Retiree or Exchange programs
• Answer inbound calls professionally, with high energy and a positive attitude and a little charm.
• Respond accurately and thoroughly to caller inquiries and document call details accordingly.
• Ensure compliance in all areas of processing, completing all transactions timely and accurately.
• Take accountability for the entire process from receipt of work to resolution.
• The ability to jump in and help. This is a “roll up your sleeves” position, and you will need to understand our business, our client’s business, and processes so you can help others effectively do their jobs.
• Work under general supervision following established procedures.

Senior Member Advocate supporting clients with Health Spending Account inquiries

Senior Member Services Advocate

Senior Member Advocate providing support for Health Spending Account inquiries via phone. Fostering relationships with clients through responsive service and assistance in enrollment processes.

• Investigate, evaluate, and resolve General Liability Bodily Injury, Property Damage, as well as Professional Liability claims, both with and without attorney involvement.
• Analyze coverage, liability, and damages based on policy terms, claim reports, statutes, and case law to determine appropriate claim handling.
• Communicate effectively with policyholders, claimants, and witnesses to gather information, provide updates, and guide the claims process.
• Identify and refer potentially fraudulent claims to SIU and pursue third-party subrogation opportunities where applicable.
• Ensure compliance with all relevant statutory and regulatory requirements across jurisdictions.
• Demonstrate strong customer service skills with empathy, clear communication, and a focus on resolution.

Sr. Claims Advocate handling liability claims for small business insurance

Senior Claims Advocate

Sr. Claims Advocate investigating and resolving liability claims for small business insurance. Ensuring compliance across jurisdictions with a focus on customer service and effective communication.

• 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.

• Responding to incoming calls from survivors, supporters, service providers, and the public
• Providing anonymous and confidential services
• Offering compassionate emotional support to those in crisis
• Sharing vital information and resources to empower callers
• Exploring options to enhance safety and restore power to those affected by abuse
• Connecting individuals with the tools and referrals they need to build lives free from violence
• Adhering to the assigned schedule, which requires availability during inclement weather and assigned holidays to ensure 24/7 hotline coverage

Phone Advocate assisting domestic violence survivors at the National Domestic Violence Hotline

Phone Advocate

Phone Advocate supporting domestic violence survivors through confidential services at the National Domestic Violence Hotline. Engaging with callers and providing resources for safety and recovery.

• Field complex inbound inquiries, emails, and chat messages with professionalism and empathy.
• Efficiently and creatively resolve customer complaints, escalating complex issues to the appropriate channels when necessary.
• Maintain deep job and service knowledge to confidently and accurately educate and serve members according to VytlOne standards.
• Meet or exceed key performance metrics to include, but not limited to: QA Scores Member Satisfaction Survey Scores Average Handle Time (AHT) Schedule Adherence Attendance Standards.
• Remain flexible and composed while navigating different member personalities, unpredictable call volumes, and changing procedures.
• Maintain meticulous and accurate records of customer interactions within the CRM and AI tools, contributing valuable data for process improvement.
• Proactively identify trends in customer feedback and issues, providing insights to management to streamline processes and enhance the member experience.
• Partner with AI-powered tools to access real-time information, generate call summaries, and personalize member interactions.
• Maintain an open line of communication with all team members, including Member Services Management, and Lead Member Advocate.
• Attend and participate in programs and meetings required by VytlOne and/or Member Services Department.
• Comply with VytlOne’s Ethical Business Conduct policy and VytlOne’s Compliance Program. Perform other job-related duties as assigned.

Member Advocate handling customer inquiries for VytlOne, a pharmacy solutions partner

Member Advocate - PBM

Member Advocate handling complex customer inquiries with empathy and professionalism for VytlOne, a pharmacy solutions partner. Providing personalized support and maintaining member relationships while meeting performance metrics.

• Respond to calls from law enforcement, CST care coordinators, and other referral sources when on call; arrive at the victim’s location within the required time frame.
• Meet immediate physical needs of youth - clothes, food, toiletries, etc.
• Provide ongoing field-based advocacy, case management, and emotional support.
• Independently coordinate referrals, service planning, and documentation of services for assigned caseload.
• Conduct comprehensive assessments, develop service plans, and make independent decisions in the field regarding the safety and well-being of assigned youth.
• Provide transportation with parent or guardian permission to appointments and services as needed and as feasible.
• Meet with each assigned survivor every other week if in town; meet with survivors placed out-of-town monthly; maintain communication through other means in between weekly meetings.
• In coordination with the MDT, help create and update safety plans for survivors.
• Attend CPS case staffings and MDT emergency response meetings, and schedule staffings.
• Document all interactions with survivors, their families, and partner agencies within 72 hours.
• Build and maintain good relationships with organizations that provide services relevant to trafficking survivors.
• Alert the supervisor when difficult situations arise
• Recognize red flag behavior and report to the supervisor
• When not otherwise available, provide an appropriate level of support to non-offending family members of victims in order to help create a good home environment to which the victim can return while maintaining needed boundaries.
• Convey a service-oriented approach: Communicate an eagerness to be helpful, starting with every referral, initial contact, and/or initial engagement and continuing through service delivery, with all stakeholders.
• Provide those seeking assistance with help, even when they are ineligible for advocate services or are seeking something outside Unbound Now’s scope.
• When referring someone, offer a warm handoff to others whenever possible.
• Balance the limitations of the advocate role with being resourceful, including seeking help from others as needed.
• Be consistent, reliable, and flexible.
• Collaborate actively in support of partners’ objectives.
• Ensure case management in collaboration with ongoing system and service- or investigation-based case management, continuing case management beyond others’ eligibility parameters.
• Ensure that case management is carried out in a manner that is relationship-based, trauma-responsive, and survivor-centered.
• Commit to in-person meetings with your supervisor every other week.
• Telephonic supervision may occur once every 30 days.
• Participate in Unbound Now’s advocate resilience group
• Apply specialized training and use professional judgment in determining the best way to serve youth during crisis and on an ongoing basis
• Complete DFPS monthly and quarterly reports accurately and promptly
• Participate in weekly advocacy team meetings/case staffings
• Submit expense documentation properly and within required time frames per the company expense policy, and follow all Ramp Monthly Closeout Instructions and Process
• Submit travel reimbursements daily, adhering to all travel guidelines
• Submit timesheet hours/grant allocations daily, adhering to grant guidelines (if applicable)
• Complete all Unbound Now required training on time

Advocate providing crisis response and case management for youth survivors of sex trafficking

Advocate, CSEY

Advocate providing individualized crisis response and ongoing case management for youth survivors of sex trafficking. Joining Unbound Now in ending human trafficking through support and advocacy.

• 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 Texas

See all jobs on JobTailor