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GuideWell Mutual

Nonprofit mutual health insurance group in Florida

Service Advocate 4

Customer SupportPosted on Nov 9
Full-timeJacksonville, FL, USA

About the Job

Requirements

  • Two years of customer service experience or an equivalent combination of education and experience.
  • One year of experience building collaborative relationships with customers, clients, and/or peers in different teams.
  • A high school diploma or equivalent.
  • High-speed internet and a router with two ports.
  • Ability to commit to a 12-week fully paid training program with limited absences.
  • Ability to use multiple systems while resolving and responding to customer inquiries and concerns by phone.
  • Ability to use sound problem-solving and decision-making skills to resolve simple to complex issues.
  • Demonstrated empathy and compassion, with listening and communication skills.
  • Ability to work an assigned shift between 8:00 a.m. and 6:00 p.m. Eastern Time; occasional nights, weekends, or holidays may be necessary based on business needs.

Responsibilities

  • Review members’ enrollment or claims history to ensure billing and enrollment accuracy and correct application of deductibles and member responsibility.
  • Use the Florida Blue Call Strategy to provide customer service and call resolution, and follow up on issues to ensure resolution for customers.
  • Research and resolve service-related inquiries while meeting established quality, productivity, and timeliness expectations.
  • Assist members by questioning, probing, and reasoning about their inquiries.

Desired Qualifications

  • Bilingual ability in Spanish or Creole.
  • Previous experience working with a health insurance company.

About the Company

GuideWell Mutual

Nonprofit mutual health insurance group in Florida

GuideWell Mutual Holding Corporation is the not-for-profit, policyholder-owned parent of Florida Blue, the Blue Cross and Blue Shield health insurer for Florida. Its family of companies also includes Triple-S, which runs the Blue plans in Puerto Rico, and GuideWell Source, which processes Medicare claims for the federal government through Novitas Solutions and First Coast Service Options. Most income comes from health plan premiums paid by employers, individuals and Medicare members, plus fees for running claims for others. As a mutual, it has no shareholders, and Florida Blue policyholders control it. GuideWell was formed in 2013 and is based in Jacksonville, Florida.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Jacksonville, FL
Founded
2011

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