Member Services Specialist

Job Summary

Serving as a frontline ambassador, the full-time Member Services Specialist will deliver high-quality, resolution-focused support to members, providers, and brokers while managing inquiries across multiple healthcare offerings in an onsite environment.

Key responsibilities

• Resolve member, provider, or broker inquiries while quoting basic eligibility and benefits, emphasizing first-call resolution
• Document call interactions clearly and accurately in the CRM, ensuring compliance with audit-ready standards
• Develop proficiency in core systems for eligibility verification and claims review to independently resolve inquiries

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