Member Services Advocate
Core
Serves as an advocate and point of contact for members regarding benefits, eligibility, referrals, and claims to ensure satisfaction.
Role type
Member Services Advocate (Customer Service)
Builds
Member retention and satisfaction through benefit resolution and education
Domain
Healthcare / Insurance (Medicare Advantage)
Deliverable
client delivery
Required skills
Medicare benefits knowledge, customer service, data entry, regulatory compliance (HIPAA), call center experience
Preferred skills
Healthcare/insurance/pharmacy industry experience, AI curiosity
Technologies
Computer systems for data entry and member forms
Responsibilities
Educate members and providers on benefits and plan options, resolve member issues and complaints, document transactions in computer systems, escalate issues to management, participate in member calling projects
Seniority
Entry-level, individual contributor