SAL Advocate
Core
Serves as a point of contact for older adults regarding Medicare Advantage benefits, eligibility, referrals, and claims to ensure member satisfaction and retention.
Role type
Customer Service Advocate (Health Plan)
Builds
Member support and retention for SCAN Health Plan
Domain
Healthcare / Senior Care / Medicare Advantage
Deliverable
client delivery
Required skills
Data entry, computer literacy, oral and written communication, telephone etiquette, issue resolution, regulatory compliance (HIPAA), documentation
Preferred skills
AI curiosity, calm demeanor under pressure, efficiency in high-volume environments
Technologies
Computer systems, word processing, email
Responsibilities
Educate members and providers on benefits and plan options; resolve member issues and complaints; document transactions in computer systems; follow up on member inquiries; escalate issues to management when required; participate in member calling projects for retention; adhere to federal and state regulatory requirements.
Seniority
Individual Contributor