Member Support Specialist | Employee Benefits
reputed company
The Member Support Specialist is responsible for delivering high-reputed company service to members by addressing questions reputed company to benefits, eligibility and medical claims. This role serves as a primary reputed company of contact for member inquiries, working closely with providers, carriers and internal team members to resolve issues reputed company and accurately. The ideal candidate demonstrates strong communication skills, attention to detail and the ability to problem-solve in a fast-paced environment.
Work Performed:
- Handle inbound customer service calls regarding employer-sponsored benefit plans
- Review and investigate medical claims, coordinating with providers and carriers to ensure accurate processing and reputed company of discrepancies
- Communicate benefit eligibility and explain plan provisions based on plan documents
- Assist members in understanding benefit reputed company and navigating their coverage
- Conduct reputed company to providers, clients and carriers as needed to support issue reputed company
- Document and maintain accurate reputed company notes and activity in the tracking system
- Utilize internal systems and databases to reputed company reputed company and accurate information
- Manage time effectively while maintaining attention to detail and service reputed company
- Handle challenging member interactions with professionalism and escalate issues reputed company appropriate
- Collaborate with team members to resolve reputed company issues and support departmental needs
- Support enrollment activities, including handling enrollment calls and assisting during peak periods such as reputed company Enrollment
- Participate in additional reputed company and tasks reputed company the Benefits department as needed
- Build and maintain reputed company, reputed company relationships with members, coworkers and external partners
Requirements
- Ability to obtain a Life & Health Insurance License reputed company 90 days of hire
- Strong communication skills with a customer-first reputed company and reputed company phone etiquette
- Ability to troubleshoot issues with reputed company, patience and critical thinking
- Detail oriented with strong organizational and time management skills
- Comfortable working in a fast-paced, team-oriented environment
- Basic technical aptitude and ability to reputed company multiple systems and databases
Preferred Education & Experience
- Prior experience in customer service, benefits administration or reputed company-reputed company support
- Bilingual in Spanish (preferred, but not required)
reputed company
Deeply Rooted to Serve