Medicare Benefits Consultant - Bilingual and License required.
Language Requirements: 2 Bilingual Korean, 2 Bilingual Mandarin, 1 Bilingual Spanish
Required: Active California Life & Health insurance license + AHIP certification
- Duration: 9/1/26 until 12/31/26
- Type: Full Time Seasonal
- Schedule: Total 40 hours per week. Initial schedule will be Monday-Friday, 8am-5pm. Starting October 15th, 8-hour shifts scheduled may be scheduled between 8:00am – 8:00pm, Monday-Friday. Must also be flexible to work 8am-5pm on Saturdays and/or Sundays when needed. Overtime may be required during AEP season.
- Location: Remote
- Pay Rate Target: Up to $26.9/hour + $100 commission per successful enrollment
Total 3 interviews.
- Video Interview
- Computer Assessment on basic computer skills, MS Excel, Outlook, and Typing
- Language Assessment
Job Summary
Member Advocates are the main point of contact; interfacing with members, prospective members, providers, brokers, and vendors. Serves members by being the main point of contact for member questions and concerns regarding benefits, eligibility, referrals, claims, and any other aspects of plan benefits and services. A successful Member Advocate I ensures member satisfaction by providing superior customer service and displaying a willingness to help at all times while maintaining a professional demeanor.
Member Services Representatives are expected to assess the needs of the caller and determine, based on strong operational understanding, the most appropriate and effective course of action.
Functions & Job Responsibilities
- Educates members, family, providers and caregivers regarding benefits and plan options.
- Accurately explains benefits and plan options in person, via email, fax, or telephonically.
- Provides follow-up with members by clarifying the customer’s issue, determining the cause, and identifying and explaining the solution. Escalates appropriate member issues to management or other departments as required.
- Provides follow-up with members by clarifying the customer’s issue, determining the cause, and identifying and explaining the solution. Escalates appropriate member issues to management or other departments as required.
- Participates in member calling projects as assigned by management to support the overall Clever Care goal of membership retention.
- Follows policies and procedures and job aids in order to maintain efficient and complaint operations; communicates suggestions for improvement and efficiencies to management; identifies and reports problems with workflows following proper departmental procedures; actively participates in departmental staff meetings and training sessions.
- Follows all appropriate Federal and State regulatory requirements and guidelines applicable to Clever Care Health Plan operations, as documented I company policies and procedures. Follows all HIPAA requirements.
- Documents transactions by completing applicable member forms and summarizing actions taken in appropriate computer system and following standards set by the department or by other authorized individuals.
- Ability to work in an environment where continuous coaching and feedback is the standard practice.
- Other duties as assigned
Qualifications
Education and Experience:
- High School Diploma or equivalent required.
- Bachelor’s Degree or equivalent work experience preferred
- Two (2) years Customer Service experience preferably in healthcare management
Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
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