Member Services Specialist

SGS_JOB_2651

Business Support
 Texas
Customer Service
Claims
Benefit and Insurance verification

Contract - 03 Months +

The Member Services Specialist supports members with healthcare-related inquiries and issues. Handles calls, emails, and chats to resolve questions about benefits, claims, and coverage. Ensures accurate documentation and follows established service and quality standards. Provides guidance on plan usage, provider access, and insurance procedures. Offers growth opportunities through training in claims and healthcare systems.

Job Responsibilities:

  • Respond to member inquiries via phone, email, and chat regarding benefits, claims, and coverage.
  • Resolve issues promptly while ensuring accurate documentation and adherence to service standards.
  • Collaborate with internal teams to deliver a seamless and informed member experience.

Skills:

  • Strong communication and customer service skills with the ability to explain complex healthcare information clearly.
  • Proficient in using CRM systems and navigating healthcare platforms like HSP, HPS, and HealthTrio.
  • Detail-oriented, with problem-solving abilities and a focus on first-call resolution and service quality.

Education/Experience:

  • High School Diploma

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