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Pearl Interactive Network Customer Care Advocate - Remote in Raleigh, North Carolina

Pearl Interactive Network is seeking to hire Remote Customer Care Advocates.

The Customer Care Advocate provides prompt, accurate, thorough, and courteous responses to all customer inquiries. The Customer Care Advocate performs research as needed to resolve Claims & Provider Enrollment inquiries.

Pearl offers a Competitive Compensation and Benefits package to include:

  • Medical, Dental, Vision, and Life Insurance ($4.93 per hour toward H&W benefits)

  • Paid time off, Paid holidays

  • 401K eligibility

  • Additional ancillary benefits to support your lifestyle professionally, physically, and financially through our professional development and coaching program.

Operating Hours: 8 AM- 6 PM EST

Available Shifts: 8:30 AM - 5 PM, 9 AM -5:30 PM, 9:30 AM - 6 PM

Preferred Locations: AL, GA, TN, NC, SC, VA, WV

Technical Equipment, and Remote Office Requirements:

  1. Broadband internet connection with a minimum download speed of 40 Mbps and upload speed of 5 Mbps. No Satellite Connections. ( Test your network at speed.cloudflare.com to verify before you start the application process.)

  2. Ethernet cable access. Wi-Fi-only connectivity is prohibited.

  3. Private and secure workspace within your home. Away from noise and distractions.

  4. Computer equipment, monitor, and headset provided

Job Duties:

  • High volume claims and transaction processing.

  • Ensure effective customer relations by responding accurately, timely, and courteously to telephone, written web, or walk-in inquiries. Accurately documents inquiries.

  • Respond to, research, and/or assist with priority inquiries and special projects as required by management.

  • Initiate, process adjustments, and perform other research as needed to resolve inquiries.

  • Coordinate with other departments to resolve problems.

  • Respond to research and/or assist with priority inquiries and special projects as required by management.

  • Provide feedback to management regarding customer problems, questions, and needs.

  • Maintains accurate records on complaints and/or other customer comments and makes recommendations for changes to management.

  • Follows through on complaints until resolved or reports to management as needed.

  • Maintain basic knowledge of quality work instructions and company policies.

  • Assists with process improvements through the recommendation of changes in procedures and techniques discovered during daily operations.

  • Maintains all departmental productivity, quality, and timeliness standards.

  • Identify and promptly report and/or refer suspected fraudulent activities and system errors to the appropriate departments

Job Requirements:

  • High school diploma, GED, or equivalent education required.

  • Associate Degree, preferred.

  • 2 years of customer service or call center experience, is preferred.

  • 2 years of experience with claims processing.

  • Knowledge of word processing, spreadsheet, and database software.

  • Excellent verbal and written communication skills.

  • Strong human relations and organizational skills.

  • Previous experience researching and analyzing claims, a plus.

  • Ability to handle high-stress situations. Good judgment skills.

  • Strong customer service skills.

  • Ability to learn and operate multiple computer systems effectively and efficiently.

  • Basic computer operating skills.

  • Standard office equipment.

Physical Requirements:

  • While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; talk or hear. The employee is regularly required to sit for prolonged periods of time. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by the job include close vision, distance vision, depth perception, and the ability to adjust focus.

The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. Pearl management reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.

Background Check, Drug Screening and Skills Assessments Required

Attention Job Seekers: Please be advised that our company determines wages in accordance with geographical location and in compliance with Service Contract Act (SCA) regulations. This policy ensures that our compensation packages are competitive within local job markets and adhere to federal standards. We are committed to fair and equitable pay practices across all our operations. Thank you for your interest in joining our team.

Pearl Interactive Network, LLC is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

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