Member Care Advocate (Remote) 2025-1429 - Military veterans preferred

Position Title: Member Care Advocate (Remote) 2025-1429

Location: Dublin, OH, USA

Job Category: NPN Operations

Job Type: Full Time

Description:

Overview - Member Care Advocate

Are you energized by working in a fast-paced call center and making a difference in the lives of World Trade Center Health Program members? Do you have excellent communication, strong customer service, and organizational skills and want to be part of an organization where caring truly counts? Join our team of caring colleagues and help us make a difference in the lives of those, specifically survivors and the brave responders, directly affected by the September 11th terrorist attacks.

As a Sedgwick Government Solutions Associate, you will work remotely in your home office and be responsible for providing high-quality customer service to members of this important program.

Member Care Advocate Responsibilities

• Assist members with day-to-day benefits and healthcare-related questions and/or issues
• Answer phones and respond to incoming inquiries timely and compassionately
• Conduct member contacts related to benefit support, referral follow-up, and resource inquiries
• Assess callers’ needs and triage to the appropriate internal team members per documented guidelines
• Process incoming calls, voicemails, and chats from members and providers resolving their benefits-related questions and issues following guidelines and policies.
• Complete outbound calls to members and providers scheduling a variety of medical services per member and provider availability
• Refer to resources and document all activities in the system(s), ensuring contacts, information gathered, and next steps are properly documented
• Performs other duties as assigned.

Member Care Advocate Qualifications

• A high school diploma or GED is required. An associate degree from an accredited college or university is preferred. Professional certification as applicable to the line of business preferred.
• Four (4) years of administrative and/or customer service experience or equivalent combination of education and experience required.
• Experience working in a Call Center Environment required
• One (1) year of experience working in the healthcare industry required
• Excellent oral and written communication skills
• PC literate, including Microsoft Office products
• Strong organizational skills
• Good interpersonal skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies
• United States Citizenship
• Ability to pass credit, background, and education checks

For a career path that is both challenging and rewarding, join Sedgwick Government Solution’s talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, and their customers. At Sedgwick Government Solutions, caring counts®. Join our team of creative and caring people and help us make a difference in the lives of others.

In addition to a competitive salary, comprehensive health and welfare benefits, tuition reimbursement, and incentive compensation, Sedgwick Government Solutions offers participation and vesting in a 401(k) plan with a company match. If you would like to contribute to our important mission and work collegially in a professional organization that values intelligence, integrity, and initiative, consider a career with Sedgwick Government Solutions.

To be considered for this position, please submit a resume, and complete the application.

The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required.

Important Information

Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire.

Search Firm Representatives

Please be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Sedgwick Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Sedgwick Government Solutions and no fee will be paid in the event that person is hired by Sedgwick Government Solutions.

Government Solutions strives to make our career site accessible to all users. If you need a disability-related accommodation to complete the application process, please contact Sedgwick Government Solutions regarding accommodations.

Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action Employer

All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person’s relatives, friends or associates.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-741.5(a). This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-300.5(a). This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans.

About Sedgwick

Sedgwick Government Solutions is a fully owned subsidiary of Sedgwick. Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to clients' specific needs in casualty, property, marine, benefits, and other lines. At Sedgwick, caring counts; through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line. www.sedgwick.com Privacy | Sedgwick Terms and Conditions | Sedgwick

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