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8 Jun 2022

Temporary Provider Appeals Coordinator

Hornet Staffing – Posted by Hornet Staffing Anywhere

Job Description

Job Type: Contract

Contract length : 03 Months

Job Summary:

The role of the GWC Customer Service Advocate is focused on servicing current or potential customers (which are defined as members, providers, agents, brokers, benefit administrators or benefits consultants). Incumbents resolve questions and issues, help the client’s customers utilize products, tools and services and directly contribute to customer satisfaction and retention.

Job Requirements:

  • Basic computer skills
  • Strong oral and written communication skills and ability to effectively communicate
  • Ability to deliver a positive customer experience with first call resolution
  • Ability to quickly learn call center technology and programs
  • Ability to successfully complete system (Ulysses) training and earn certification
  • Customer service experience in a healthcare call center
  • The essential functions listed represent the major duties of this role, additional duties may be assigned.
  • The work of a GWC Customer Service Advocate is guided by instructions, established work routines and/or close supervision.
  • Incumbents are given some latitude on deciding on how tasks and duties are completed based on changing work situations, work flow, etc. and supervisory approval.
  • Incumbents perform semi-routine duties within established systems and procedures.

Job duties may include:

  • Provide customer service and education to plan members and providers by answering more complex questions regarding insurance claims and policies, resolving issues and ensuring customers understand the Company’s products, services and processes.
  • Calls are predominantly routine, but may require deviation from standard screens, scripts and procedures.
  • Perform research to respond to inquiries and interpret policy provisions to determine most effective response.
  • Use computerized systems for tracking, information gathering and troubleshooting.
  • Actively seek, identify and implement process improvement opportunities.
  • Perform other duties as assigned.

Required Work Experience:

  • 3-5 Years of related work experience or equivalent combination of transferable experience and education

Required Education:

  • High school diploma or GED

How to Apply

For immediate consideration, please send your resume directly to Lory Weir at . You can view all of our open positions at 

Job Types: Temporary.

Job expires in 67 days.

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