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Customer Experience Advocate

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United States
Work type
Remote
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Customer Experience Advocate - Remote๐ŸŒŸ

Why youโ€™ll love it:
โœ… work from your favorite spot
โœ… Be the problem-solving champion everyone admires
โœ… Join a team thatโ€™s passionate, supportive, and fun

Join us as a Customer Experience Advocate and be the voice of support for clients and their employees. Youโ€™ll handle calls and emails with professionalism, resolve issues in one contact, and ensure every interaction leaves a positive impression. If you love helping people and thrive in a fast-paced environment, this role is for you!

Bring your energy, empathy, and A-game. Apply now and letโ€™s make customer experience unforgettable!

  • Responsible for pilot line calls and email communications resulting in reactionary responses within the claim.
  • Manages and authorizes payment on claims while meeting all service, timeframe, and productions standards.
  • Communicates with claimants, employers, and medical professionals to gather information regarding eligibility, benefit authorization, and ongoing management of benefits.
  • Applies the appropriate contractual provisions, case management resources, and claim processes to ensure eligibility requirements and liability decisions are accurate.
  • Responsible for de-escalating calls submitted by Absence Specialists.
  • Responsible for providing excellent customer service and industry knowledge to inquiries.
  • Assists in the training of new employees as needed.
  • Performs other duties as assigned.
  • Upholds the Crawford Code of Conduct.
  • High School diploma.
  • Two years of years of STD/LTD claims adjudication experience.
  • Experienced in the TPA or self-administration services preferred.
  • Experience with FMLA/State leave claims preferred.
  • Ability to learn medical terminology and conditions.
  • Ability to interpret procedures and regulations.
  • Knowledgeable in Excel, Word, and web-based systems.
  • Excellent verbal and written communication skills.
  • Knowledge of ERISA regulations, required offsets and deductions, disability duration and Social Security procedures.
  • Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.
  • Strong ability to identify, analyze and solve problems.
  • Effective interpersonal skills capable of dealing with external sources and all levels of employees.

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