Member Support Specialist | Employee Benefits

Oakbridge Insurance Agency • Alpharetta, GA

2d

About The Position

The Member Support Specialist delivers high-quality service to members by addressing questions about benefits, eligibility, and medical claims. The role serves as a primary point of contact for member inquiries and works with providers, carriers, and internal team members to resolve issues efficiently and accurately. The ideal candidate has strong communication skills, attention to detail, and the ability to problem-solve in a fast-paced environment.

Requirements

• Life and Health Insurance License.
• Strong communication skills, a customer-first mindset, and professional phone etiquette.
• Ability to troubleshoot issues with empathy, patience, and critical thinking.
• Detail-oriented, with strong organizational and time-management skills.
• Comfort working in a fast-paced, team-oriented environment.
• Basic technical aptitude and ability to navigate multiple systems and databases.

Nice To Haves

• Prior experience in customer service, benefits administration, or healthcare-related support.
• Bilingual in Spanish.

Responsibilities

• Handle inbound customer service calls regarding employer-sponsored benefit plans.
• Review and investigate medical claims, coordinating with providers and carriers to support accurate processing and resolve discrepancies.
• Communicate benefit eligibility and explain plan provisions based on plan documents.
• Help members understand benefit options and navigate their coverage.
• Contact providers, clients, and carriers as needed to support issue resolution.
• Document and maintain accurate call notes and activity in the tracking system.
• Use internal systems and databases to provide timely and accurate information.
• Manage time effectively while maintaining attention to detail and service quality.
• Handle challenging member interactions professionally and escalate issues when appropriate.
• Collaborate with team members to resolve complex issues and support departmental needs.
• Support enrollment activities, including handling enrollment calls and assisting during peak periods such as Open Enrollment.
• Participate in additional Benefits department projects and tasks as needed.
• Build and maintain positive, professional relationships with members, coworkers, and external partners.

Benefits

• 401(k) plan with immediate participation, company match, and immediate 100% vesting.
• Company-paid life insurance.
• Company-paid short- and long-term disability.
• Health insurance plan.
• Supplemental and voluntary benefit offerings.
• Friendly and flexible work environment.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed