Member Advocate I - Korean Bilingual (residing in PH)
Job Description
Key Skills
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Description / Requirements
URGENT HIRING OF OUR NEW CLIENT!
Position Title: Member Advocate I
Position Type: Full Time
Location: 6th Floor, The Orient Sq bldg., F. Ortigas Jr. Road, Ortigas Center, Pasig, 1605
Work Set-up: Onsite
Reports To: Call Center Supervisor
Salary: To be discussed (please source candidates with a salary range of 80K-95K Native Koreans)
Visa to be processed by the company for expats
About Clever Care Health Plan
Clever Care Health Plan is a newly founded Medicare Advantage health plan, that will serve Medicare beneficiaries in Southern California. Our employees are passionate about providing the best services to our members and healthcare provider partners. Two office locations are Arcadia, Los Angeles County, and Westminster, Orange County. To learn more, please visit CleverCareHealthPlan.com.
Job Summary
Member Advocates are the main point of contact at Clever Care; interfacing with members, prospective members, providers, brokers, and vendors. Serves members by being the main point of contact at Clever Care for member questions and concerns regarding benefits, eligibility, referrals, claims, and any other aspects of plan benefits and services. A successful Member Advocate, I ensure member satisfaction by providing superior customer service and displaying a willingness to help at all times while maintaining a professional demeanor.
Member Services Representatives are expected to assess the needs of the caller and determine, based on strong operational understanding, the most appropriate and effective course of action
Qualifications (Updated)
High school diploma or equivalent, bachelor’s degree preferred.
With or without experience as long as fluent in both Korean and English currently residing in Philippines
At least 2 years of customer service experience, preferably in healthcare management and/or a call center setting is an advantage
Exceptional customer service skills, including verbal and written communication
Fluent in both Korean and English
Strong active listening skills
Ability to collaborate and be a team player
Must be a quick learner
Ability to remain calm and courteous when handling upset members and offering solutions to their problems and knowing when to escalate the call
Familiarity with Centers for Medicare and Medicaid Services (CMS) regulations, preferred
Proficiency with Microsoft Office (Word, Excel, Outlook)
Responsibilities:
Educates members, family, providers and caregivers regarding benefits and plan options.
Accurately explains benefits and plan options in person, via email, fax, or telephonically.
Provides follow-up with members by clarifying the customer’s issue, determining the cause, and identifying and explaining the solution. Escalates appropriate member issues to management or other departments as required.
Provides follow-up with members by clarifying the customer’s issue, determining the cause, and identifying and explaining the solution.
Escalates appropriate member issues to management or other departments as required.
Participates in member-calling projects as assigned by management to support the overall company goal of membership retention.
Role
Department Management
Timings
Day Shift (Permanent)
Industry
Courier / Transportation / Freight
Work Mode
Work from office
Functional Area
Retail / Consumer / Commercial
Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.
Interview Tips
- Giving the VNA round?
- What are the most important skills you acquired as a Soft Skills/VNA trainer?
- How would you handle an irate customer?
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