Member Relations Representative

Job Summary

A company is looking for a Member Relations Representative.

Key Responsibilities:

• Educate members and providers about the plan to ensure member retention and high customer service levels
• Handle inbound and outbound calls, providing timely follow-up and assistance with eligibility and benefits inquiries
• Collaborate with internal departments to resolve member issues and maintain accurate documentation

Required Qualifications:

• High School Diploma or 3 years of equivalent work experience required
• Minimum of 1+ years of call center or face-to-face customer service experience preferred
• Healthcare experience is preferred; managed care experience is a plus
• Basic typing and computer skills required; experience with Microsoft Word and Excel is desirable
• Bilingual skills are a plus