Member Service Associate

Maine Community Health Options; México; A distancia; MXN 200,000 - 400,000; Jornada completa

Descripción de la vacante

A leading health organization is seeking a Member Service Associate to provide exceptional customer service and support to members. This remote position involves responding to inquiries, facilitating resolutions, and collaborating with internal teams. Ideal candidates will have experience in customer service, strong communication skills, and a commitment to continuous improvement. The role offers a comprehensive benefits package including health insurance, retirement plans, and professional development opportunities.

Servicios

Health, Dental and Vision Insurance

Employer paid Group Life, STD and LTD Insurance

Wellness Program

401(k) Retirement Plan with Employer match

Workplace Flexibility

Dependent Care Flex Spending

Vacation time

Professional Development/Education Reimbursement

Formación

• 1+ years in call center or customer service environment.
• Strong verbal and written communication skills.

Responsabilidades

• Responds to inbound inquiries and makes outbound calls.
• Researches health insurance products and communicates effectively.
• Documents interactions clearly and concisely.

Conocimientos

Communication

Customer Service

Time Management

Educación

High school diploma

Herramientas

Microsoft Office

Descripción del empleo

Current job opportunities are posted here as they become available.

Subscribe to our RSS feeds to receive instant updates as new positions become available.

Join our team text MEMBER to 207-367-3977 to apply!

POSITION SUMMARY

The Member Service Associate (MSA) is responsible for responding to inquiries accurately and resolving issues through an efficient, respectful, and customer-focused approach. The position facilitates first call resolution through a commitment to exceptional service, product knowledge, research and by effectively partnering with internal and external partners. The position acts as a trusted resource and reliable advocate who provides informational support for specific health plans, general health insurance and available online resources.

The Member Service Associate supports Members, prospective Members, administrators, healthcare providers, and health insurance agents/brokers.

The position serves Community Health Options’ callers and may respond to mail, email, and live chat inquiries.

RESPONSIBILITIES / DUTIES

• Responds accurately to inbound inquiries and makes outbound calls as needed to facilitate resolution.
• Demonstrates a commitment to exceptional service and first call resolution.
• Complies with all federal and state HIPAA privacy laws.
• Researches health insurance products and policy information and effectively communicates in an understandable manner regardless of complexity.
• Provides informational and navigational assistance related to eligibility, benefits, billing, and self-service online resources.
• Sets appropriate expectations and ensures any promises made are kept.
• Communicates and coordinates with internal departments and external partners.
• Provides feedback to managers on identified issues, the caller experience, or opportunities for improvement.
• Documents in a clear, concise, and accurate manner.
• Performs other responsibilities as assigned.

KEY COMPETENCIES

People within Community Health Options are expected to work with integrity, humility, strategic vision, curiosity, and discipline. They must be self-motivated, highly effective, and compassionate communicators, effectively working with people, work processes, and actively engaging in continuous process improvement.

Health Option diversity initiatives are applicable—but not limited—to our practices and policies on recruitment and selection; compensation and benefits; professional development, and training; promotions; transfers; social and recreational programs, and the ongoing development of a work environment built upon the premise of diversity equity, which encourages and enforces:

• Respectful communication and cooperation between all employees.
• Teamwork and employee participation, permitting the representation of all groups and employee perspectives.
• Work/life balance through flexible work schedules to accommodate employees’ varying needs.
• Employer and employee contributions to the communities we serve to promote a greater understanding and respect for the diversity.

QUALIFICATIONS

• Experience working in a call center, retail, or equivalent customer service environment one or more years.
• Prior work experience in health insurance or healthcare related fields (preferred).
• Strong verbal and written communication skills with the ability to work as part of a goal-oriented team.
• Proficient in using a computer (typing, navigation, multi-tasking) and has experience using Microsoft Office products.
• Ability to manage time effectively and adhere to a schedule.
• Possess a willingness to adapt to change and is receptive to feedback to further professional development.
• High school diploma, general education degree or equivalent

This is a remote position that includes a Total Rewards Program that is designed to enhance the lives of our people (i.e., cultivate a commitment to health, pay for current healthcare and dependent care costs, and provide a tax-effective vehicle to accumulate funds for retirement).

• Health, Dental and Vision Insurance
• Employer paid Group Life, STD and LTD Insurance
• Wellness Program
• 401(k) Retirement Plan with Employer match
• Workplace Flexibility and Workplace Transition Program
• EAP
• Dependent Care Flex Spending
• Vacation time, Holidays, Floating Holidays, Personal Health time, Maine Earned Paid Leave, Parental Paid Leave
• Professional Development/Education Reimbursement