Customer Service Advocate II – Member & Provider Support Specialist at careerzynith
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Why Join careerzynith?
For more than seven decades, careerzynith has been a cornerstone of the health‑insurance landscape, deeply rooted in the communities it serves. With an A+ (Superior) rating from A.M. Best—the only health‑insurance carrier in the region to hold this distinction—careerzynith stands out as a leader in delivering reliable, compassionate care to members, providers, and partners. Our expansive portfolio includes government‑contract administration, a cutting‑edge data processing hub, and a family of subsidiary businesses that together create a dynamic, resilient organization.
At careerzynith, we believe that exceptional service begins with exceptional people. If you share our commitment to integrity, empathy, and continuous improvement, you’ll find a rewarding career path that offers both stability and growth.
Position Overview
Title: Customer Service Advocate II – Member & Provider Support Specialist
Employment Type: Contract‑to‑Permanent (with the possibility of remote work after successful conversion)
Work Schedule: Monday – Friday, 8:00 am – 4:30 pm
Location: On‑site at our regional office (local candidates preferred). Equipment and standard office tools are provided.
Core Responsibilities
Deliver prompt, accurate, and courteous responses to inbound inquiries from both providers and members across phone, email, web chat, and in‑person channels.
Navigate non‑routine situations that require deviation from standard scripts, employing critical thinking and research to resolve complex issues.
Document every interaction meticulously, ensuring compliance with careerzynith’s quality standards and data‑privacy policies.
Initiate adjustments, conduct investigations, and coordinate with cross‑functional teams (claims, billing, IT, and compliance) to achieve timely resolutions.
Provide actionable feedback to management regarding recurring problems, emerging trends, and opportunities for process improvement.
Maintain a working knowledge of careerzynith’s policies, procedures, and quality work instructions; suggest enhancements based on frontline observations.
Assist in onboarding new hires and cross‑training teammates, fostering a collaborative and knowledgeable support environment.
Detailed Duty Breakdown
Customer Interaction (60%): Respond to telephone, written, web, and walk‑in inquiries with professionalism and empathy. Adapt responses when standard scripts are insufficient, conducting thorough research to provide accurate information.
Issue Resolution & Adjustments (15%): Process claim adjustments, coordinate with internal departments, and handle priority inquiries or special projects as directed by leadership.
Feedback & Reporting (10%): Capture and analyze customer complaints, generate reports, and recommend policy or procedural changes to improve overall service quality.
Quality & Compliance (10%): Uphold careerzynith’s quality standards, maintain accurate records, and contribute to continuous‑improvement initiatives.
Training & Development (5%): Mentor new team members, share best practices, and support cross‑training initiatives to broaden skill sets across the department.
Qualifications
Required Education & Experience
High School Diploma or equivalent (GED).
At least 1 year of experience in claims processing, customer service, or a related field. A Bachelor’s degree may be substituted for the required experience.
Demonstrated ability to communicate clearly—both verbally and in writing—with diverse audiences.
Proficiency in basic computer operations; comfort navigating multiple software platforms simultaneously.
Preferred Education & Experience
Associate Degree in Business, Communications, Health Administration, or a related discipline.
Three or more years of experience in a high‑volume call‑center or customer‑service environment, preferably within health‑insurance or government‑contract settings.
Familiarity with word processing, spreadsheet, and database applications (e.g., Microsoft Office Suite, Google Workspace).
Core Skills & Competencies
Communication: Active listening, clear articulation, and professional written correspondence.
Problem‑Solving: Ability to diagnose issues, research solutions, and implement corrective actions swiftly.
Adaptability: Comfort handling changing priorities, evolving procedures, and unexpected challenges.
Leadership & Teamwork: Demonstrated initiative in guiding peers, sharing knowledge, and contributing to a positive team culture.
Emotional Resilience: Capacity to remain calm and effective under high‑stress situations while maintaining empathy for callers.
Judgment & Discretion: Handling confidential or sensitive information with the utmost professionalism.
Compensation, Benefits & Perks
careerzynith offers a competitive hourly wage ranging from $11.63 to $15.50, commensurate with experience and performance. In addition to base pay, eligible employees enjoy a comprehensive benefits package that includes:
Medical, dental, and vision coverage.
Retirement savings plan (401(k)) with company matching contributions.
Paid time off, holidays, and sick leave.
Employee assistance programs and wellness initiatives.
Opportunities for tuition reimbursement and professional development.
Support for veterans, National Guard, and Reserve members—including pay‑difference coverage for active‑duty deployments.
Career Growth & Learning Opportunities
careerzynith invests heavily in the development of its workforce. As a Customer Service Advocate II, you will have access to:
Structured training programs that cover advanced claims concepts, regulatory compliance, and customer‑experience best practices.
Mentorship from seasoned supervisors and coordinators who guide career progression.
Cross‑functional projects that expose you to other areas of the business, such as data analytics, policy development, and technology implementation.
Clear pathways to senior advocacy roles, team lead positions, or specialized tracks in claims adjudication, provider relations, or quality assurance.
Work Environment & Culture at careerzynith
Our office environment blends professionalism with a supportive, community‑focused atmosphere. Key cultural pillars include:
Collaboration: Teams work closely together, sharing insights and celebrating collective successes.
Integrity: Every interaction reflects careerzynith’s commitment to ethical standards and transparent communication.
Innovation: Employees are encouraged to propose new ideas that enhance service delivery and operational efficiency.
Diversity & Inclusion: careerzynith values varied perspectives and actively cultivates an inclusive workplace where every voice is heard.
Community Engagement: We partner with local organizations, support veteran initiatives, and participate in charitable events throughout the region.
Application Process
If you are ready to bring your passion for service, problem‑solving expertise, and dedication to a respected industry leader, we invite you to apply today. Join careerzynith and become part of a team that not only delivers exceptional health‑insurance solutions but also makes a tangible difference in the lives of members, providers, and the broader community.
Apply Now – Start Your Journey with careerzynith!
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Apply for this job
Why Join careerzynith?
For more than seven decades, careerzynith has been a cornerstone of the health‑insurance landscape, deeply rooted in the communities it serves. With an A+ (Superior) rating from A.M. Best—the only health‑insurance carrier in the region to hold this distinction—careerzynith stands out as a leader in delivering reliable, compassionate care to members, providers, and partners. Our expansive portfolio includes government‑contract administration, a cutting‑edge data processing hub, and a family of subsidiary businesses that together create a dynamic, resilient organization.
At careerzynith, we believe that exceptional service begins with exceptional people. If you share our commitment to integrity, empathy, and continuous improvement, you’ll find a rewarding career path that offers both stability and growth.
Position Overview
Title: Customer Service Advocate II – Member & Provider Support Specialist
Employment Type: Contract‑to‑Permanent (with the possibility of remote work after successful conversion)
Work Schedule: Monday – Friday, 8:00 am – 4:30 pm
Location: On‑site at our regional office (local candidates preferred). Equipment and standard office tools are provided.
Core Responsibilities
Deliver prompt, accurate, and courteous responses to inbound inquiries from both providers and members across phone, email, web chat, and in‑person channels.
Navigate non‑routine situations that require deviation from standard scripts, employing critical thinking and research to resolve complex issues.
Document every interaction meticulously, ensuring compliance with careerzynith’s quality standards and data‑privacy policies.
Initiate adjustments, conduct investigations, and coordinate with cross‑functional teams (claims, billing, IT, and compliance) to achieve timely resolutions.
Provide actionable feedback to management regarding recurring problems, emerging trends, and opportunities for process improvement.
Maintain a working knowledge of careerzynith’s policies, procedures, and quality work instructions; suggest enhancements based on frontline observations.
Assist in onboarding new hires and cross‑training teammates, fostering a collaborative and knowledgeable support environment.
Detailed Duty Breakdown
Customer Interaction (60%): Respond to telephone, written, web, and walk‑in inquiries with professionalism and empathy. Adapt responses when standard scripts are insufficient, conducting thorough research to provide accurate information.
Issue Resolution & Adjustments (15%): Process claim adjustments, coordinate with internal departments, and handle priority inquiries or special projects as directed by leadership.
Feedback & Reporting (10%): Capture and analyze customer complaints, generate reports, and recommend policy or procedural changes to improve overall service quality.
Quality & Compliance (10%): Uphold careerzynith’s quality standards, maintain accurate records, and contribute to continuous‑improvement initiatives.
Training & Development (5%): Mentor new team members, share best practices, and support cross‑training initiatives to broaden skill sets across the department.
Qualifications
Required Education & Experience
High School Diploma or equivalent (GED).
At least 1 year of experience in claims processing, customer service, or a related field. A Bachelor’s degree may be substituted for the required experience.
Demonstrated ability to communicate clearly—both verbally and in writing—with diverse audiences.
Proficiency in basic computer operations; comfort navigating multiple software platforms simultaneously.
Preferred Education & Experience
Associate Degree in Business, Communications, Health Administration, or a related discipline.
Three or more years of experience in a high‑volume call‑center or customer‑service environment, preferably within health‑insurance or government‑contract settings.
Familiarity with word processing, spreadsheet, and database applications (e.g., Microsoft Office Suite, Google Workspace).
Core Skills & Competencies
Communication: Active listening, clear articulation, and professional written correspondence.
Problem‑Solving: Ability to diagnose issues, research solutions, and implement corrective actions swiftly.
Adaptability: Comfort handling changing priorities, evolving procedures, and unexpected challenges.
Leadership & Teamwork: Demonstrated initiative in guiding peers, sharing knowledge, and contributing to a positive team culture.
Emotional Resilience: Capacity to remain calm and effective under high‑stress situations while maintaining empathy for callers.
Judgment & Discretion: Handling confidential or sensitive information with the utmost professionalism.
Compensation, Benefits & Perks
careerzynith offers a competitive hourly wage ranging from $11.63 to $15.50, commensurate with experience and performance. In addition to base pay, eligible employees enjoy a comprehensive benefits package that includes:
Medical, dental, and vision coverage.
Retirement savings plan (401(k)) with company matching contributions.
Paid time off, holidays, and sick leave.
Employee assistance programs and wellness initiatives.
Opportunities for tuition reimbursement and professional development.
Support for veterans, National Guard, and Reserve members—including pay‑difference coverage for active‑duty deployments.
Career Growth & Learning Opportunities
careerzynith invests heavily in the development of its workforce. As a Customer Service Advocate II, you will have access to:
Structured training programs that cover advanced claims concepts, regulatory compliance, and customer‑experience best practices.
Mentorship from seasoned supervisors and coordinators who guide career progression.
Cross‑functional projects that expose you to other areas of the business, such as data analytics, policy development, and technology implementation.
Clear pathways to senior advocacy roles, team lead positions, or specialized tracks in claims adjudication, provider relations, or quality assurance.
Work Environment & Culture at careerzynith
Our office environment blends professionalism with a supportive, community‑focused atmosphere. Key cultural pillars include:
Collaboration: Teams work closely together, sharing insights and celebrating collective successes.
Integrity: Every interaction reflects careerzynith’s commitment to ethical standards and transparent communication.
Innovation: Employees are encouraged to propose new ideas that enhance service delivery and operational efficiency.
Diversity & Inclusion: careerzynith values varied perspectives and actively cultivates an inclusive workplace where every voice is heard.
Community Engagement: We partner with local organizations, support veteran initiatives, and participate in charitable events throughout the region.
Application Process
If you are ready to bring your passion for service, problem‑solving expertise, and dedication to a respected industry leader, we invite you to apply today. Join careerzynith and become part of a team that not only delivers exceptional health‑insurance solutions but also makes a tangible difference in the lives of members, providers, and the broader community.
Apply Now – Start Your Journey with careerzynith!
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Apply for this job