Member Experience Advocate
Indexed description
BASIC FUNCTION
The Member Experience Advocate I supports the efforts of the Member Experience Manager. The
Member Experience Advocate I is accountable to resolve Member Service inquiries from internal and
external customers in a timely manner. This position is responsible for accurately documenting each
inquiry into the Salesforce/Broker Portal system using the format designed and taking appropriate
action to resolve the caller's inquiries. With strong communication and organizational skills, the
Member Experience Advocate I assists their leadership and team in achieving goals, objectives, and
improvements.
General Responsibilities
The Member Experience Advocate I is accountable to provide an excellent level of service to internal as
well as external customers. The Member Experience Advocate I will also coordinate responsibilities
with those of the Member Experience Team Leader to:
- Develop career path advancement goals and meet them annually
- Direct claims calls to UMR or Medicare Supplement Specialist as applicable
- Effectively communicate and accurately document Member Experience inquiries in the
- Identify and communicate to the Team Leader any OLH changes/recommendations
- Identify and report system issues
- Knowledgeably and accurately manage the Member Experience inboxes
- Maintain monthly, passing quality performance goal of 90 as established by the department
- Meet department monthly scorecard goal of 90
- Manage multiple projects and priorities
- Must be meeting corporate absentee percentage of 2.7%
- Perform miscellaneous projects as assigned by leadership
- Professionally handle incoming/outgoing telephone calls from internal and external customers
- Professionally handle Membership calls from both internal and external customers
- Professionally work with other departments/county representatives
- Proficient in handling Customer Service inquiries
- Perform some Billing related calls
- Stay up to date with on-line help (OLH) resources and participate in annual OLH review
- Successfully and professionally work as part of a team
- Successfully complete the required training
- Take initiative for self-growth through continuing education/credentialing courses
- Work independently to research and determine cause of problem and effect of resolution with
- Work overtime as needed
Work Experience: The Member Experience Advocate I is preferred to have Customer Service
experience of at least 1 year. If a current internal employee applies, they must be meeting the minimum
performance expectations.
Skills/Competencies: A successful candidate for the Member Experience Advocate I will possess the
following skills and/or competencies.
- Ability to manage multiple projects and priorities
- Ability to work independently and take initiative
- Efficient in call logging skills
- Excellent Customer Service skills
- Excellent interpersonal skills
- Excellent oral and written communication skills
- Excellent organizational skills
- Excellent time management skills
- Proficient in Microsoft Word, Outlook, and Excel
- Sound decision making and problem-solving skills
- Strong analytical skills
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