Member Services Advocate
- Update account information such as temporary changes of address for shipping or alternate phone numbers.
- Educate members on how the supplemental OTC benefit works, including benefit amounts, and products available, and frequency of coverage.
- Identify member complaints and grievances and escalate according to client specific procedures.
- Assist health plan members with inquiries related to their OTC benefits and/or orders placed.
- Process requests for OTC items received from health plan members via mail or phone call
- Look up over-the-counter medicines on the formulary to verify if they are offered, and if a drug is not offered provide an explanation as to why.
- Make concise and detailed notations as it pertains to member records.
- Communicate with coworkers, management, staff, customers, and others in a courteous and professional manner.
- Conform with and abide by all regulations, policies, work procedures and instructions.
- High school diploma or equivalent preferred.
- Minimum 6 months customer service experience is preferred
- Call center experience is preferred; healthcare and/or pharmacy industry experience a plus; or any equivalent combination of related training and experience.
- Above average computer, skill is required, including the ability to work in a Windows environment and multitask within multiple software programs simultaneously.
Recommended Jobs
STATE ATTORNEY'S OFFICE, 11TH CIRCUIT- FISCAL DIRECTOR - 21003348
Requisition No: 852997 Agency: Justice Administrative Commission Working Title: STATE ATTORNEY'S OFFICE, 11TH CIRCUIT- FISCAL DIRECTOR - 21003348 Pay Plan: State Attorneys JAC Position Num…
Local Marketing Account Executive
Local Marketing Account Executive Location Fort Walton Beach, FL : The audio industry is on fire - from podcasting and streaming to smart speakers and live radio - and it's never been a more exciting…
Senior Front End Developer
What We'll Bring to the Table: - Friendly, dynamic work environment – Includes certification as a Great Place to Work ® (three years in a row!) along with Climate Neutral Status - Competitive sala…
Seasonal Sales Associate
Kate Spade is seeking a Seasonal Sales Associate for its Orlando, FL location. This role involves engaging with customers, supporting sales objectives, and maintaining the brand's aesthetic through vi…
OFFICE AUTOMATION ANALYST - 60062267
Requisition No: 861879 Agency: Children and Families Working Title: OFFICE AUTOMATION ANALYST - 60062267 Pay Plan: Career Service Position Number: 60062267 Salary: $42,561.57 Posting…
Retail Operations Manager
PetSmart does Anything for Pets and Everything for You – JOIN OUR TEAM! Retail Operations Manager About Life at PetSmart At PetSmart, we’re more than just a company obsessed with pets ; we’…
Appointment Setter Telemarketer
Factory Direct Renovations Group , number one growing Home Improvement Company is seeking Appointment Setters in our Broward County, Florida market. Customer service experience is a must, as you wil…
Industrial Maintenance Technician, 1st Shift (Jacksonville, FL)
Job Description: Pitney Bowes is seeking an onsite Industrial Maintenance Technician, 1st Shift in our Jacksonville, Florida Presort Services facility. The base hourly pay range is $25 …
DATA/BI Analyst (Senior/MId)
INULTI, a rapidly expanding performance marketing powerhouse, is on an exhilarating growth trajectory. We're seeking a Senior to Mid-Level Data/Business Intelligence Analyst to join our ambitious t…
PERSONNEL TECHNICIAN II - 55002996
Requisition No: 861834 Agency: Department of Transportation Working Title: PERSONNEL TECHNICIAN II - 55002996 Pay Plan: SES Position Number: 55002996 Salary: $36,209.97 - $46,859.96 …