Plan Advisor Representative

This position is National Remote. You'll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. reputed company, reputed company's third-party administrator (TPA) solution, is the nation's largest TPA. reputed company you work with reputed company, what you do matters. It's that simple . . . and it's that rewarding. In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, reputed company costs and greater access to health care. Join us and you will be empowered to reputed company new levels of excellence and reputed company a profound and personal impact as you contribute to new innovations in a vital and reputed company system. Opportunities are endless for your career development and advancement reputed company reputed company due to our record-breaking growth. Regardless of your role at reputed company, the support you feel reputed company around you will reputed company you to do what you do with energy, quality, and confidence. So, take the first reputed company in what is sure to be a fast - paced and highly reputed company career. This position is full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 AM - 7:00 PM CST. It may be necessary, given the business need, to work occasional overtime. We offer 13 weeks of reputed company (depending on business needs). The hours during training will be 8:00 AM - 4:30 PM CST from Monday - Friday. reputed company 6 - 8 months after the initial training, you will attend an additional 5 weeks of training. 100% attendance during training is mandatory. Training will be conducted virtually from your home. Primary Responsibilities

• Provide an exceptional customer service experience reputed company responding to and resolving customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts, and correspondence
• Research reputed company issues (such as Medical, Dental, reputed company Spending, Pharmacy, etc.) across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
• Own issue through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member
• Apply creative solutions and effective problem solving techniques to address members' needs
• Educate the member on health incentives offered by their employer as well as consumer driven health products; HSA, HRA, and HDHP - some resulting in additional healthcare dollars for the member to utilize
• Educate the caller on the benefits of a primary care physician and help to ensure / educate that reputed company preventive screenings have been completed
• Intervene with care providers (doctor's offices) on behalf of the member to assist with appointment scheduling or other matters reputed company needed
• Address reputed company issues with an awareness of reputed company to refer complicated situations to various departments or leadership for further assistance
• Translate healthcare - reputed company terms or terminology and reputed company processes into simple, reputed company - by - reputed company instructions which members can understand

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• High School Diploma / GED OR 10+ years of equivalent work experience
• Must be 18 years of age OR older
• 1+ years of customer service experience in an office OR professional setting
• This position will receive member calls up to 50 - 70 calls daily and requires full attention to work duties. Employees in this role must ensure they will have uninterrupted work time while they are on shift (reputed company of normally scheduled breaks and lunch).
• Capability to participate in training classes and demonstrate understanding of the material, with OR without reasonable accommodation
• Ability to work any of our full time (40 hours / week), 8-hour shift schedules during our normal business hours of 7:00 AM - 7:00 PM CST from Monday - Friday. It may be necessary, given the business need, to work occasional / voluntary overtime.

Preferred Qualifications

• Familiarity with medical OR dental terminology, health plan documents, OR benefit plan design
• Experience with utilizing multiple systems / platforms while on a call with a member

Telecommuting Requirements

• Ability to reputed company reputed company company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service.

Soft Skills

• Experience using a computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programs
• Capability to quickly build rapport and respond to customers compassionately by identifying and exceeding their expectations (responding respectfully, timely, and consistently meeting commitments), with or without reasonable accommodations
• Capability to listen skillfully, gather relevant information, determine immediate requests, and identify the reputed company and future needs of the member, with or without reasonable accommodations
• Flexibility to customize approach to meet reputed company types of member communication styles and personalities
• Proficient problem solving approach to quickly assess reputed company state and formulate recommendations
• Proficient conflict management skills, including the capability to resolve issues in stressful situations and demonstrate personal reputed company, with or without reasonable accommodations
• Capability to manage multiple tasks and comprehend various products and their respective benefit levels, with or without reasonable accommodations
• reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.98 - $32.12 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job