Member Service Representative
New
Based in the United StatesFull-TimeEntry
Salary not disclosed
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Job Details
- Experience
- 2+ years of customer service experience
- Required Skills
- Problem SolvingCustomer serviceDocumentation
Requirements
- High school diploma or GED required.
- 2+ years of customer service experience, preferably in a call center environment.
- Strong communication skills, both written and verbal, with excellent telephone etiquette.
- Ability to manage multiple systems simultaneously and navigate digital tools efficiently.
- Strong attention to detail with the ability to follow structured processes and guidelines.
- Excellent problem-solving skills using predefined procedures and escalation pathways when needed.
- Ability to remain organized and manage multiple priorities in a fast-paced environment.
- Comfortable working remotely with strong self-management, reliability, and time management skills.
- Preferred: Associate degree or higher in a healthcare-related field.
- Preferred: Additional experience in healthcare customer service or insurance-related environments.
Responsibilities
- Handle inbound and outbound calls from members, providing accurate information and resolving inquiries across a wide range of healthcare-related topics.
- Verify member information and ensure all interactions are handled with accuracy, confidentiality, and compliance standards.
- Research and resolve member issues in collaboration with internal teams and escalate complex cases when necessary.
- Maintain detailed and accurate documentation of member interactions, case updates, and system records.
- Follow established procedures and quality standards while meeting performance and productivity expectations.
- Communicate effectively with members, peers, and supervisors to ensure seamless service delivery.
- Participate in required training sessions and apply learned procedures consistently in daily work.
- Support outbound outreach efforts to provide updates, gather information, or complete issue resolution.
- Maintain organized work queues and ensure timely follow-up on assigned tasks.
- Contribute to maintaining a positive member experience through professional, empathetic communication.
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