Member Services Representative

Job Summary

To support a remote call center, the part-time hourly Member Services Representative will handle incoming customer calls, process claims inquiries, and issue authorizations while providing excellent service to members and providers.

Key responsibilities

• Provide timely and accurate information to incoming customer calls, including issuing authorizations and handling claims inquiries
• Process customer claims according to established department policies and check voicemail boxes for requests related to I.D. cards and authorizations
• Fulfill rapid call volume by managing a high number of daily calls and providing feedback regarding customer service issues

Required qualifications

• High School Diploma or Equivalent; Associate's degree highly preferred
• 2+ years of customer service or call center experience preferred
• 2+ years of experience in the healthcare industry or insurance environment preferred
• Business-related college courses preferred
• Associates degree in lieu of experience will be considered