Member Experience Representative

Job Summary

Supporting various lines of business, the full-time Member Experience Representative will address member inquiries related to benefits, claims, and authorizations, while working remotely or onsite in Wisconsin.

Key responsibilities

• Respond professionally to incoming calls regarding health plan inquiries, benefits, and claims
• Utilize active listening and effective questioning techniques to achieve first-call resolution
• Document customer interactions accurately and collaborate with internal departments to resolve issues

Required qualifications

• High school diploma or equivalent
• Strong desire to help others
• Previous experience in the insurance industry is a plus
• Medical terminology background is a plus
• Ability to work with multiple computer systems and multi-screen setups