Wisconsin Member Experience Representative

Job Summary

Supporting various lines of business, the full-time Wisconsin Member Experience Representative will address benefit interpretations, claims, authorizations, and other member inquiries through phone calls and emails, while working in a hybrid environment from home or office locations in Wisconsin.

Key responsibilities

• Respond professionally to incoming calls regarding benefits, coverage, claims, and other health plan inquiries
• Utilize active listening and effective questioning techniques to achieve first-call resolution and document customer interactions accurately
• Collaborate with internal departments to resolve issues and meet established quality and performance standards

Required qualifications

• High school diploma or equivalent
• Strong desire to help others
• Previous experience in the insurance industry is a plus
• Medical terminology background is a plus
• Ability to work with multiple computer systems and effectively locate information