Healthcare Customer Service Advocate (Remote)

System One is a leader in delivering outsourced services and workforce solutions across North America. They are seeking a Healthcare Customer Service Advocate II to support customers in a fast-paced call center environment, handling inquiries related to benefits, claims, eligibility, and billing while providing excellent customer service.

Responsibilities:

• Answer inbound calls from customers and business partners regarding:
• Plan/product information and benefits
• Claims questions and first-level claims research
• Eligibility and billing inquiries
• Provide first-level issue resolution by gathering details, researching accounts, and confirming accuracy in the system
• Explain benefit usage, limitations, and relevant plan details in an easy-to-understand way
• Document every interaction accurately in the system according to required guidelines
• Provide basic technical support/troubleshooting for online portals, digital tools, and electronic applications
• Prioritize tasks and multitask efficiently (calls + multiple screens/systems) while meeting quality and performance goals
• Identify underlying needs and guide customers to the right resources, programs, or services
• Participate in ongoing training to stay current on services, updates, and best practices

Requirements:

• High School Diploma or GED
• 3+ years of customer service experience
• Call center experience
• Strong empathy and ability to build trust quickly with customers
• Strong PC navigation and data entry skills; comfortable working across multiple applications
• Clear verbal and written communication skills
• Health insurance / health plan / healthcare customer service background
• Experience supporting benefits, claims, eligibility, and billing questions