CareFirst BlueCross BlueShield · 11 hours ago
Customer Service Advocate II (Remote)
United States
Full-time
Remote
Mid Level
$38K/yr - $70K/yr
3+ years expCareFirst BlueCross BlueShield is a healthcare company seeking a Customer Service Advocate II. This role is responsible for answering inquiries related to product information, claims resolution, and eligibility, while providing education to members, providers, and brokers in a call center environment.
Health CareNon ProfitService Industry
No H1B
Responsibilities
Responsible for answering member, provider & broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment
Proactively provides information and education to members, providers & brokers, as appropriate, about a variety of health, financial, and self-service programs
Provides basic technical assistance and troubleshooting guidance for digital and electronic applications
Provides first- level problem resolution to member, provider and broker inquiries via telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as liability, validate customer understanding of information and resolves issues based on applicable policies and procedures
Uses knowledge of products or services by collecting and the contractual provisions that govern administration to provide customer information service and analyzing education, to interpret contractual language to the customer needs for the purpose of providing benefit utilization and limitations, to determine the need for managed care initiatives, and to administer all types of services to customers within the business segment through telephonic inquiries, written and/or electronic inquiries and claims adjustments, if applicable. Appropriately documents all client interactions according to established departmental procedures
Prioritize workflow & multitask efficiently in a fast pace environment while using multiple skill sets with demonstrated proficiency
Delivers accurate information to customers in accordance with performance goals and objectives
Maintains customer advocate records by identifying underlying customer needs and guiding them to appropriate resources or programs updating account information by effectively utilizing the business areas enrollment/inquiry tracking system & processes
Participates in system testing as needed and ongoing education related to new services, industry topics, and skills
Qualification
Required
High School Diploma or GED
3 years customer service experience
Demonstrated skills as an empathetic and compassionate communicator
Ability to quickly gain customer trust and confidence
Demonstrated PC navigation and data entry skills
Strong interpersonal communication skills
Good oral and written communication skills
Preferred
3 years experience in a call center customer service role or experience with medical or insurance terminology
Benefits
Comprehensive benefits package
Various incentive programs/plans
401k contribution programs/plans
Company
CareFirst BlueCross BlueShield
CareFirst. It’s not just our name. It’s our promise.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Ja'Ron Bridges
Interim President and Chief Executive Officer
Doba Parushev
Vice President, Healthworx Ventures
Recent News
2025-10-02
BCBSM, Inc., dba Blue Cross and Blue Shield of Minnesota
2025-09-09
2025-08-07
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