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Healthcare Advocate

Healthcare Advocate

Req ID#:  385311

Lima, Lima, Peru

Job Description: 

About Us

Foundever™ is a global leader in the customer experience (CX) industry. With 170,000 associates across the globe, we’re the team behind the best experiences for +750 of the world’s leading and digital-first brands. Our innovative CX solutions, technology and expertise are designed to support operational needs for our clients and deliver a seamless experience to customers in the moments that matter.

 

 

Our Core Values are:

  • Creativity: Make it simple, lead the change.
  • Commitment: Aim for better, impact for the good.
  • Connection: Share experiences, grow together.

Job Summary

We are looking for a talented and committed Customer Support Agent to follow up on customer health related topics and provide support as required. This role interacts with customers regarding medical and pharmacy benefits, eligibility and claims inquiries, billing and general requests.

 

 

Main Responsabilities

  • Advocate for the member and/or caller by making the interaction hassle-free.
  • Compassionately own problem through to resolution on behalf of the member in real-time or through comprehensive and timely follow-up with the member.
  • Effectively ensures members are connected to appropriate specialists and/or enrolled in the correct programs, based on members’ needs and eligibility.
  • Compassionately respond to and resolve member service inquiries in one single call.
  • Accurately capture member grievances and file determination requests.
  • Compassionately educate members about the fundamentals of health care benefits.
  • Offer Next Best Actions on the account and follow up appropriately.
  • Assist members in appointment scheduling to proactively address gaps in care.
  • Provider education and choosing a quality care provider.
  • Maximizing the value of their health plan benefits.
  • Complete follow-up with members as appropriate.

 

 

Requirements

  • At least 18 years old
  • High School Diploma
  • Peruvian Citizenship or work permit
  • Strong Computer Skills
  • Experience in customer service or call center is desirable
  • Highly compassionate and empathetic
  • Problem-solving skills
  • Strong communication skills both verbal and written
  • Multitasking skills
  • Advanced English level is required

 

 

Company benefits

  • 40 working hours
  • Very central location for working
  • Competitive salary and performance bonus
  • Excellent work environment and more!


Job Segment: Call Center, Customer Service

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