Member Services Representative

Job Summary

Providing exceptional customer support, the part-time hourly Member Services Representative will manage incoming calls from members and providers, handle claims inquiries, issue authorizations, and ensure accurate information is communicated in a remote call center environment.

Key responsibilities

• Provide timely and accurate information to customer calls, including issuing authorizations and handling claims inquiries
• Process customer claims and fulfill requests for ID cards and other service-related inquiries
• Maintain high call volume efficiency while delivering excellent customer service and addressing feedback regarding service issues

Required qualifications

• High School Diploma or Equivalent required; Associate's degree preferred
• 2+ years of customer service or call center experience preferred
• Experience in the healthcare industry or insurance environment preferred
• Business-related college courses are a plus
• Associates degree may substitute for experience