Remote National Customer Service Advocate – careerzynith Healthcare Benefits & Member Support Specialist

About careerzynith – Transforming Health Care for Millions

At careerzynith, we are on a mission to simplify the health‑care experience, create healthier communities, and break down barriers to quality care. Every interaction you have with a member has the power to impact the lives of millions, making the system more responsive, affordable, and equitable. As a remote‑first organization, we empower our team members to work from anywhere in the United States while delivering world‑class service that drives real change in the health‑care ecosystem.

Why This Role Matters

Our Customer Service Advocates are the trusted voice for members enrolled in careerzynith benefit plans. You will be the single point of contact for a wide range of inquiries—medical, pharmacy, dental, vision, eligibility, and claims. By providing clear, compassionate guidance, you help members navigate complex benefit structures, resolve issues quickly, and ultimately improve their health outcomes. This is an inbound/outbound phone role that also includes live chat and secure messaging, giving you the flexibility to connect with members through the channel they prefer.

Key Responsibilities

• Active Listening & Issue Identification: Listen attentively, ask probing questions, and document member inquiries related to medical, vision, dental, and pharmacy plan details, eligibility, and claim status.
• Benefit Education: Translate clinical terminology and coding into plain language, helping members understand costs, coverage options, and how to maximize their benefits.
• Resource Referral: Leverage multiple databases, internal tools, and specialist networks to connect members with the right careerzynith resources, programs, and community services.
• Problem Resolution: Resolve complex benefit and claim issues on behalf of members, ensuring first‑call resolution whenever possible.
• Process Adaptation: Quickly adopt changes in policies, guidelines, and enterprise‑wide initiatives, maintaining compliance and consistency across all member interactions.
• Performance Excellence: Meet and exceed performance metrics for efficiency, call quality, customer satisfaction, schedule adherence, and attendance.
• Collaboration & Knowledge Sharing: Work closely with internal specialists, share insights, and contribute to continuous improvement initiatives that enhance the member experience.

Essential Qualifications

• Minimum 1 year of experience in a customer‑service environment, preferably in a high‑volume call‑center setting.
• Must be at least 18 years old and legally authorized to work in the United States.
• Ability to work full‑time (40 hours/week) Monday‑Friday within the shift windows of 8:30 am – 5:00 pm or 12:30 pm – 9:00 pm CST. Occasional overtime may be required based on business needs.
• Reliable high‑speed internet connection and a dedicated, private workspace that meets careerzynith’s telecommuter security standards.

Preferred Qualifications

• 2+ years of customer‑service experience, with a demonstrated track record of meeting performance goals.
• Experience working within careerzynith Benefit Operations or a similar health‑insurance environment.
• Familiarity with health‑care terminology, medical coding (ICD‑10, CPT), and pharmacy benefit structures.
• Previous exposure to multi‑channel support (phone, chat, secure messaging) and CRM platforms.

Core Soft Skills & Competencies

• Active Listening: Ability to hear both what is said and what is unsaid, ensuring members feel truly understood.
• Empathy & Sensitivity: Demonstrate compassion for members facing health challenges, especially those from diverse or underserved backgrounds.
• Negotiation & Conflict Resolution: Calmly de‑escalate tense situations and guide members toward mutually beneficial outcomes.
• Agility & Flexibility: Thrive in a fast‑changing environment, adapting quickly to new processes, tools, and policies.
• Cultural Sensitivity & Diversity Awareness: Respect and celebrate differences, providing inclusive service to all members.
• Time Management: Efficiently balance multiple interactions while maintaining high quality and accuracy.
• Communication Excellence: Clear, concise, and professional verbal and written communication skills.

Training & Development

All new hires participate in a comprehensive 6‑week paid training program conducted virtually from the comfort of your home. Training runs from 8:00 am – 4:30 pm CST and equips you with the knowledge, tools, and confidence needed to excel in the role. Throughout your tenure, careerzynith offers continuous learning opportunities, including:

• Access to internal learning portals for certifications in health‑care compliance, customer experience, and advanced communication techniques.
• Mentorship programs pairing you with seasoned careerzynith professionals who can guide your career growth.
• Regular performance coaching sessions focused on skill enhancement and career path planning.
• Opportunities to cross‑train in related departments such as claims processing, member outreach, and health‑education programs.

Career Path & Advancement

careerzynith believes in promoting from within. As a Customer Service Advocate, you can progress to roles such as:

• Senior Member Support Specialist – handling high‑complexity cases and leading a small team.
• Team Lead – coaching a group of advocates, managing schedules, and driving performance metrics.
• Operations Analyst – focusing on process improvement, data analytics, and workflow optimization.
• Product & Service Design – collaborating with product teams to shape member‑centric benefit offerings.

Each step is supported by structured development plans, tuition reimbursement for relevant coursework, and leadership training programs.

Work Environment & Culture at careerzynith

Our remote‑first culture is built on trust, autonomy, and collaboration. You will be part of a diverse, inclusive community where every voice matters. careerzynith invests in:

• Well‑being Programs: Virtual wellness challenges, mental‑health resources, and flexible scheduling to support work‑life balance.
• Diversity, Equity & Inclusion (DEI): Employee resource groups, DEI training, and initiatives that champion equity across the organization.
• Technology Enablement: State‑of‑the‑art communication tools, secure VPN access, and a robust knowledge base to empower you to serve members efficiently.
• Recognition & Rewards: Performance‑based incentives, peer‑to‑peer recognition platforms, and quarterly awards for outstanding service.

Compensation, Perks & Benefits

careerzynith offers a competitive hourly wage ranging from $16.00 – $31.44 (depending on location, experience, and certifications). In addition to base pay, you will receive a comprehensive benefits package that may include:

• Medical, dental, and vision insurance with multiple plan options.
• Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA).
• Retirement savings plans with employer matching contributions.
• Paid time off (PTO), holidays, and sick leave.
• Employee assistance programs (EAP) for personal and professional support.
• Wellness incentives, such as gym membership reimbursements and virtual fitness classes.
• Equity purchase programs and performance bonuses.
• Continuous learning stipends for certifications, conferences, and online courses.

All benefits are subject to eligibility requirements and may vary by state.

Commitment to Diversity & Inclusion

careerzynith is an Equal Employment Opportunity and Affirmative Action employer. We celebrate diversity and are dedicated to creating a workplace where every employee—regardless of race, gender, sexuality, age, disability, or background—feels valued and empowered to thrive. Our commitment extends to the communities we serve, with initiatives aimed at reducing health disparities and promoting equitable access to care.

Application Process

If you are passionate about helping members navigate their health‑care journey, thrive in a remote environment, and want to grow within a purpose‑driven organization, we want to hear from you. Click the link below to submit your application and start a rewarding career with careerzynith.

Apply Now – Join careerzynith!

Take the Next Step

At careerzynith, you will do more than answer calls—you will be a catalyst for better health outcomes, a champion for member empowerment, and a valued member of a forward‑thinking team. Join us today and help shape the future of health care.