Member Services Specialist

Job Summary

A company is looking for a Member Services Specialist to provide high-quality support to members, providers, and brokers.

Key Responsibilities

• Resolve member, provider, or broker inquiries across various health plans and document call interactions accurately
• Assist members in understanding coverage, navigating the website, and interpreting claims activity
• Participate in training modules and skill assessments to support career advancement within Member Services

Required Qualifications

• High school diploma or equivalent is required
• Basic proficiency in Microsoft Office Suite and ability to learn proprietary systems quickly
• 0-2 years of customer service experience preferred, ideally in healthcare, insurance, or call center environments
• Ability to work remotely with reliable internet access and adhere to remote work protocols
• Must be able to participate in scheduled overtime during high-volume periods