Overview
Join Our Team Assisting customers with their Health Benefits!
We are seeking a compassionate service-orientedMember Advocate to join our team and support members in navigating the healthcare system. As the first point of contact the Member Advocate provides personalized high-quality support to help members understand their health benefits access essential services and coordinate care. The ideal candidate thrives in a fast-paced multi-channel environment and is passionate about making a meaningful difference in the lives of others.
Must be able to work onsite: 105 Live Oaks Gardens Casselberry FL 32707**
Why You Will Love Working Here:
- Meaningful work that genuinely helps people.
- Consistent weekday schedule no weekends required!
- A supportive team that prioritizes empathy and excellence.
- Opportunities for growth within a stable respected organization.
Ready to Make a Difference
If youre passionate about helping othersapply todayand join a team where your voice matters!
Responsibilities
What Youll Do:
- Serve as a single point of contact for members building trusted relationships and assisting with provider access appeals claims and services.
- Explain plan benefits and resolve claims and benefit issues via phone or digital communication.
- Ask questions to identify member needs including those outside their current benefits.
- Handle inbound and outbound inquiries through phone email mail and chat.
- Help schedule appointments arrange transportation find providers issue ID cards and guide members in using online tools.
- Proactively reach out to members for health campaigns and wellness follow-ups.
- Coordinate with providers Care Managers and vendors; warm transfer members and remain on the line if needed to ensure resolution.
- Work closely with internal teams and healthcare providers to resolve issues and ensure a smooth member experience.
- Document actions taken and communicate follow-up timelines to members.
The Training Hours: 11:00am-8:00pm EST Monday-Friday
Hours of Operation:11:00am-11:00pm EST Monday-Friday
Qualifications
What Youll Bring:
- High school diploma or GED required college coursework a plus.
- Must be at least 18 years of age.
- 1 year of customer service experience (call center and/or healthcare preferred).
- Typing speed of 25 WPM with 90% accuracy required.
- Strong communication skillsclear caring and professional.
- Solid computer skills including MS Office and navigating the web.
- Reliability flexibility and a commitment to getting the job done right.
If you would like to fill out a Voluntary Self-Identification of Disability Form.
Please visit us at OPPORTUNITY STATEMENT QUALFON is an equal opportunity employer. QUALFON provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race color religion gender sex (including pregnancy childbirth and related medical conditions) sexual orientation gender identity national origin age disability genetic information (including testing and characteristics) marital status ancestry status as a covered veteran uniformed servicemember status and any other characteristic protected under applicable federal state or local law.
Qualfon is an equal employment opportunity employer. Alternative methods of applying for employment are available to individuals unable to submit an application through this site because of a disability.
Contact to discuss reasonable accommodations.
Pay Range
USD $16.00 - USD $16.00 /Hr.
Required Experience:
Unclear Seniority
OverviewJoin Our Team Assisting customers with their Health Benefits!We are seeking a compassionate service-orientedMember Advocate to join our team and support members in navigating the healthcare system. As the first point of contact the Member Advocate provides personalized high-quality support ...
Overview
Join Our Team Assisting customers with their Health Benefits!
We are seeking a compassionate service-orientedMember Advocate to join our team and support members in navigating the healthcare system. As the first point of contact the Member Advocate provides personalized high-quality support to help members understand their health benefits access essential services and coordinate care. The ideal candidate thrives in a fast-paced multi-channel environment and is passionate about making a meaningful difference in the lives of others.
Must be able to work onsite: 105 Live Oaks Gardens Casselberry FL 32707**
Why You Will Love Working Here:
- Meaningful work that genuinely helps people.
- Consistent weekday schedule no weekends required!
- A supportive team that prioritizes empathy and excellence.
- Opportunities for growth within a stable respected organization.
Ready to Make a Difference
If youre passionate about helping othersapply todayand join a team where your voice matters!
Responsibilities
What Youll Do:
- Serve as a single point of contact for members building trusted relationships and assisting with provider access appeals claims and services.
- Explain plan benefits and resolve claims and benefit issues via phone or digital communication.
- Ask questions to identify member needs including those outside their current benefits.
- Handle inbound and outbound inquiries through phone email mail and chat.
- Help schedule appointments arrange transportation find providers issue ID cards and guide members in using online tools.
- Proactively reach out to members for health campaigns and wellness follow-ups.
- Coordinate with providers Care Managers and vendors; warm transfer members and remain on the line if needed to ensure resolution.
- Work closely with internal teams and healthcare providers to resolve issues and ensure a smooth member experience.
- Document actions taken and communicate follow-up timelines to members.
The Training Hours: 11:00am-8:00pm EST Monday-Friday
Hours of Operation:11:00am-11:00pm EST Monday-Friday
Qualifications
What Youll Bring:
- High school diploma or GED required college coursework a plus.
- Must be at least 18 years of age.
- 1 year of customer service experience (call center and/or healthcare preferred).
- Typing speed of 25 WPM with 90% accuracy required.
- Strong communication skillsclear caring and professional.
- Solid computer skills including MS Office and navigating the web.
- Reliability flexibility and a commitment to getting the job done right.
If you would like to fill out a Voluntary Self-Identification of Disability Form.
Please visit us at OPPORTUNITY STATEMENT QUALFON is an equal opportunity employer. QUALFON provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race color religion gender sex (including pregnancy childbirth and related medical conditions) sexual orientation gender identity national origin age disability genetic information (including testing and characteristics) marital status ancestry status as a covered veteran uniformed servicemember status and any other characteristic protected under applicable federal state or local law.
Qualfon is an equal employment opportunity employer. Alternative methods of applying for employment are available to individuals unable to submit an application through this site because of a disability.
Contact to discuss reasonable accommodations.
Pay Range
USD $16.00 - USD $16.00 /Hr.
Required Experience:
Unclear Seniority
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