Member Experience Specialist - Remote

Overview

The Member Experience Specialist provides personalized support and guidance to customers, ensuring a positive experience by resolving inquiries related to health benefits and claims while leveraging healthcare administration knowledge.

In Short

• Serve as the primary contact for health benefits inquiries.
• Resolve customer inquiries with minimal escalation.
• Guide members through clinical complexities and resources.
• Educate members on optimizing insurance benefits.
• Enroll members in digital health management programs.
• Provide training on healthcare tools.
• Maintain confidentiality and adhere to HIPAA regulations.
• Work independently and as part of a team.
• Utilize customer service systems effectively.
• Contribute to positive member behavior and business outcomes.

Requirements

• 3 years of experience in customer service or healthcare administration.
• Proficiency in Microsoft Office Suite.
• Strong communication and interpersonal skills.
• Ability to navigate customer service systems.
• Empathy and active listening skills.
• Ability to work independently.
• High attention to detail and confidentiality.
• Associate's degree preferred.

Benefits

• Competitive salary range from $21.53 to $32.30 per hour.
• Opportunities for professional development.
• Supportive work environment.
• Access to healthcare benefits.
• Flexible working conditions.