Client Advocate I - Meritain Health

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position SummaryThe Client Advocate position is a client facing position working as a single point of contact for operational issues. The Client Advocate supports service & administration of Meritain products to achieve client satisfaction and profitable growth by building relationships with assigned clients, brokers and internal partners, monitoring activity and reporting for the assigned book of business, proactive & reactive support of client issues and supporting client retention.Responsibilities

• Servicing your assigned book of business
• Identifies customer specific service issues and offers solutions.
• Create and maintain PDET cases as outlined in policy guidelines
• Acts as the single point of contact for client's operational inquiries and escalated issues. Resolutions to include but not limited to Claims, Enrollment, ID cards, COBRA, FSA, Network Ops, PBM, Customer Service, EDI Files and Finance
• Provides plan document interpretation and ensures the client's questions are addressed.
• Conduct client portal training
• Supports operational departments to enhance the member experience through improved workflows and process improvements
• Identify opportunities that support account owners in developing and delivering strategic plans

• 1-3 years of experience working with health insurance, claims and/or stoploss products
• Ability to meet deadlines
• Decision making skills
• Conflict resolution, Flexibility, Time management and active listening skills.
• Knowledge and experience with administrative operations
• Professional written & verbal communication skills
• Proficient in Microsoft Office applications

• DG & Salesforce experience
• General knowledge of Meritain applications and Self-Funded Insurance
• Health Insurance and Stoploss experience

• Associates Degree or equivalent work experience (HS diploma + 2 years relevant experience)

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.