Hybrid Medicare Advantage Member Care Specialist

Siho Holding; Columbus (IN); Hybrid; USD 38,000 - 46,000; Full time

Job summary

SIHO Insurance Services is seeking a Medicare Advantage Member Services Representative in Columbus, IN. This role handles member and provider inquiries by phone and written channels, documents interactions, and supports resolution of benefits questions.

The position is full-time, hybrid (3 days in office, 2 remote), with weekend and peak-season coverage as needed. A high school diploma and two years of customer service experience are required, along with solid health insurance knowledge.

Qualifications

• Minimum Skills Requirement: strong customer service orientation and effective communication.
• Ability to explain benefits and navigate complex health insurance questions.
• Excellent listening skills and empathetic problem solving in a regulatory context.
• Ability to document inquiries and escalate when needed to resolution.
• HIPAA compliance and professional appearance are required.

Responsibilities

• Respond to member and provider inquiries via phone and written channels.
• Explain benefits, resolve claim concerns, and locate doctors nearby when needed.
• Record details of inquiries, complaints, and transactions accurately.
• Escalate unresolved issues and assist with customer grievances.
• Support teammates to meet department goals and ensure first-call resolution.

Skills

Customer Service Passion

Excellent communication

Active listening

Knowledge of health insurance

Medicare Advantage knowledge

Emotional intelligence

Attendance & reliability

Professional appearance

HIPAA confidentiality

Education

High School Diploma and 2 years of Customer service experience

Tools

Microsoft Office

Job description

SIHO Insurance Services is seeking a Medicare Advantage Member Services Representative in Columbus, IN. This role handles member and provider inquiries by phone and written channels, documents interactions, and supports resolution of benefits questions.

The position is full-time, hybrid (3 days in office, 2 remote), with weekend and peak-season coverage as needed. A high school diploma and two years of customer service experience are required, along with solid health insurance knowledge.