Healthcare Member Support Specialist

FTS, Inc.; Washington; On-site; USD 22,000 - 34,000; Full time

Job summary

FTS, Inc. is seeking a customer service professional to handle inquiries about eligibility, benefits, claims, and other plan-related matters. You will respond via phone, email, in person, and written correspondence, ensuring accurate information and empathetic support.

You will verify eligibility, coordinate updates with vendors, and document all interactions, while collaborating with internal teams to resolve participant concerns. High attention to detail and reliable attendance are essential.

Qualifications

• Minimum 1 year of customer service experience.
• Minimum 1 year of insurance carrier or healthcare experience.
• Typing speed of at least 40 words per minute.
• High School Diploma required.
• Excellent written and verbal communication skills.
• Proficiency in Microsoft Office.

Responsibilities

• Provide friendly, professional, and empathetic service by phone, email, in person, and through written correspondence.
• Answer questions regarding eligibility, benefits, claims, self-payments, and other plan-related matters.
• Research participant questions and concerns to identify accurate answers and effective solutions.
• Explain claim payments and help participants understand why a claim may have been denied.
• Verify eligibility and benefits and coordinate updates with outside vendors.
• Collaborate with internal departments, providers, vendors, and employers to resolve participant concerns.
• Accurately document participant interactions and maintain clear, complete records.
• Assist with enrollment forms, working spouse forms, disability claims, special fund claims, and other participant-related processes.

Skills

Customer service

Healthcare experience

Typing 40 wpm

Written communication

Verbal communication

Dependability

Education

High School Diploma

Tools

Microsoft Office

Job description

FTS, Inc. is seeking a customer service professional to handle inquiries about eligibility, benefits, claims, and other plan-related matters. You will respond via phone, email, in person, and written correspondence, ensuring accurate information and empathetic support.

You will verify eligibility, coordinate updates with vendors, and document all interactions, while collaborating with internal teams to resolve participant concerns. High attention to detail and reliable attendance are essential.