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 multiple health plan offerings, ensuring first-call resolution
• Document call interactions accurately in the CRM and provide clear explanations of benefits and eligibility
• Participate in ongoing training and development to enhance knowledge of core systems and career advancement opportunities

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 or call center environments
• Ability to work collaboratively in a team setting while managing assigned tasks independently
• Must have reliable internet access for remote work and adhere to all remote work protocols