Member Services Advocate
Core
First point of contact for members and providers, delivering exceptional service via inbound calls and emails to support health insurance inquiries, claims, and benefits.
Role type
Member Services Advocate (Customer Support)
Builds
Member and provider support experience for small and midsize businesses
Domain
Health Insurance / Healthcare
Deliverable
client delivery
Required skills
Active listening, empathy, problem-solving, clear communication, attention to detail, organizational skills, data entry proficiency, multitasking, self-motivation
Preferred skills
Health insurance/healthcare experience, Medicare/Medicaid/Marketplace plan familiarity, Microsoft Office/Google Suite proficiency, Health Insurance Producer License
Technologies
CRM systems, internal health insurance systems, Microsoft Office, Google Suite
Responsibilities
Respond to inbound member and provider inquiries via phone and email, explain claims/benefits/eligibility/billing/networks/prescription coverage, record interactions in CRM, partner with internal departments and vendors, maintain structured schedule with extended hours during peak season
Seniority
Entry-level to Junior, hands-on IC