Member Services Advocate

TEKsystemsAustin, TX
$18 - $18Remote

About The Position

This is a Contract to Hire position. The Member Services Advocate is responsible for taking care of members through calls and emails. This role will process open enrollment, discuss consumer-driven products, assist with COBRA enrollment payment questions, reset passwords on websites, help complete wellness exams on the company website, and answer general benefit questions.

Requirements

  • Member Services
  • Customer Care
  • MS Word
  • Windows
  • MS Excel
  • Customer Service
  • Healthcare
  • Medical
  • Benefits
  • Typing
  • Customer support
  • Customer service call center
  • Customer service
  • Healthcare
  • inbound and outbound calls
  • inbound call

Responsibilities

  • Answers inbound phone calls and emails from members, answering questions on a wide variety of topics including medical, dental, vision and prescription benefits, spending accounts, wellness programs, open enrollment and COBRA processes, among others.
  • Accurately completes tasks including insurance benefit and eligibility verification, open enrollment of benefits, updating member contact information, resetting TXHB Online passwords, and ordering member ID cards and spending account cards.
  • Assists with Qualifying Life Events and benefit coverage.
  • Builds rapport with members and provides personalized service.
  • Proactively identifies opportunities to educate membership on special TXHB programs and value-added benefits.
  • Promotes the use of TX Health Benefits Pool website and online tools to members.
  • Communicates and explains complex issues and properly escalates interactions when needed.
  • Thoroughly documents interactions and completes any follow up steps in a timely manner.
  • Actively manages cases and works collaboratively with other departments and supervisors to ensure resolution.
  • Conducts proactive outbound calls designed to improve the member experience.
  • Identifies potential trends/issues related to member experience and escalates those to management as appropriate.

Benefits

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)
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