Health Insurance Member Support Specialist

Priority Dispatch Corp.; Omaha (NE); On-site; USD 36,000 - 52,000; Full time

Job summary

Priority Dispatch Corp. is seeking a Customer Service Member Support Rep to be the frontline advocate for Detego Health members, handling eligibility, benefits, claims, billing, and provider networks with empathy and professionalism.

This non-clinical, HIPAA-compliant role focuses on health insurance navigation and member advocacy, requiring accurate documentation in Salesforce, outbound follow-ups, and escalation of complex issues to Care Guides.

Qualifications

• Excellent customer service, communication, active listening, conflict resolution and de-escalation skills.
• Ability to build rapport and provide an exceptional member experience.
• Experience in fast-paced call center environments and metrics-driven performance.
• Strong computer navigation across multiple applications and monitors.

Responsibilities

• Serve as first point of contact for member inquiries via phone, email, and other channels.
• Deliver a positive, empathetic, member-focused experience.
• Educate members on eligibility, enrollment, benefits, claims, and resources.
• Document interactions accurately in Salesforce CRM and required systems.
• Conduct outbound follow-up calls for education and issue resolution.
• Escalate complex issues to higher-level Care Guides as needed.

Skills

Customer service

Call center

Active listening

Conflict resolution

De-escalation skills

Rapport building

Tools

Salesforce CRM

CRM software

Job description

Priority Dispatch Corp. is seeking a Customer Service Member Support Rep to be the frontline advocate for Detego Health members, handling eligibility, benefits, claims, billing, and provider networks with empathy and professionalism.

This non-clinical, HIPAA-compliant role focuses on health insurance navigation and member advocacy, requiring accurate documentation in Salesforce, outbound follow-ups, and escalation of complex issues to Care Guides.