Ohio Licensed Member Service Specialist

Job Summary

To support a growing Medicare Advantage plan, the full-time Ohio Licensed Member Service Specialist will respond to consumer inquiries regarding plan benefits and services, ensuring compliance with federal regulations while working remotely.

Key responsibilities

• Respond to consumer inquiries via phone, in person, or in writing, ensuring compliance with CMS and other regulatory requirements
• Engage with consumers to meet service performance goals and implement retention strategies to maintain membership
• Document inquiries and actions taken accurately within designated software systems

Required qualifications

• Minimum of high school education; some college-level studies preferred
• Experience in customer service with knowledge of Medicare and CMS regulations
• Proficiency in PC applications, including Microsoft Office and data entry
• Understanding of managed care benefit plans and medical terminology
• Ability to effectively communicate and organize tasks in a fast-paced environment