Build caring connections with every member by always leading with empathy, patience, and respect, ensuring members feel heard, supported, and valued throughout every interaction.
Own each member interaction end-to-end, taking accountability to resolve inquiries during the initial contact and ensuring clear follow-through when additional steps are required.
Deliver exceptional service by consistently exceeding member expectations and reinforcing a culture focused on trust, compassion, and first-call resolution.
Accurately respond to member inquiries regarding benefits, eligibility, services, policies, and procedures in a clear, confident, and member-friendly manner.
Assist members with provider network and claim/reimbursement inquiries, benefit questions related to transportation, food, dental and other support services and needs, proactively identifying solutions and next steps.
Requirements
2+ years of customer service, contact center, or member support experience, preferably in healthcare and/or Medicare Advantage.
High school diploma or GED required. College degree, Associate’s or Bachelor’s preferred or any equivalent combination of education and work experience.
Required: Demonstrated ability to use technology and follow detailed workflow instructions.