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Benefits Client Advocates

Currently seeking a Benefits Account Executives in South Carolina locations including:


    • Camden, SC

    Responsibilities of the Client Advocate include:


      • Responds to and resolves customer service inquires and issues by identifying the topic and type of assistance the client needs such as benefits, eligibility and claims, financial spending accounts and correspondence.
      • Helps guide and educate clients and their employees about the fundamentals and benefits of their lines of coverage
      • Intervenes with care providers (doctor’s offices) on behalf of the customer to assist with resolving claims and billing discrepancies
      • Owns problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow-up with the member
      • Researches complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
      • Meets the performance goals established for the position in the areas of: efficiency, quality and customer satisfaction
      • Processes and assists with eligibility in escalated and urgent situations
      • Researches resources the vendor has available for the client to utilize such as wellness initiatives
      • Makes sure client remains compliant with federal and state laws


      Requirements of the Client Advocate:


        •  Minimum 2 years of experience with customer service in employee benefits field
        •  Life & Health License
        • Demonstrates ability to listen skillfully, collects relevant information, determines immediate requests, and identifies the current and future needs of the member or client
        • Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions customers can understand and act upon
        • Proficient conflict management skills to include ability to resolve issues in a stressful situation and demonstrating personal resilience