BlueCard Customer Advocate I

HMSA
United States, Hawaii, Kapolei
May 09, 2025
Review, document and accurately respond, verbally or in writing, to routine and regular claims inquiries received by telephone, correspondence or internal communication, as assigned by supervisor. Effectively manage inventory of unresolved inquiries to provide timely follow-up and accurate resolution to customers by: * Identifying issues and compiling supporting documentation necessary for Medical Management review. * Performing routine analysis of the root cause for customer inquiries to be utilized in process improvement plans to meet corporate goals and/or service level agreements. Gain knowledge and subject matter expertise and participate in meetings on workflow changes, process improvements, and project implementations. Complete or participate in corporate training, compliance certification or initiatives as directed by management. Participate in and assist with training of unit staff as directed. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid