Medicare Advantage Member Support Specialist

McLaren Health Care; Flint (MI); On-site; USD 22,000 - 30,000; Full time

Job summary

McLaren Health Plan is seeking a Customer Service Representative to handle daily member calls, educate members on benefits, and coordinate with Medical Management for authorizations. The role requires interaction with providers on eligibility, benefits, and claims issues.

Ideal candidates will have strong customer service experience, capable communication skills, and a commitment to high-quality service for Michigan residents enrolled in Medicare Advantage.

Qualifications

• High School Diploma or equivalent certification.
• One year of customer service experience with direct contact via phone, email, chat or face-to-face.

Responsibilities

• Handle daily member telephone calls and direct them to the proper services.
• Educate members, problem solve and create linkages to Medical Management for authorization of services.
• Assist providers with eligibility, benefit, and resolution of claims issues.

Skills

Customer service

Telephone support

Communication

Education

High School Diploma or equivalent

Job description

McLaren Health Plan is seeking a Customer Service Representative to handle daily member calls, educate members on benefits, and coordinate with Medical Management for authorizations. The role requires interaction with providers on eligibility, benefits, and claims issues.

Ideal candidates will have strong customer service experience, capable communication skills, and a commitment to high-quality service for Michigan residents enrolled in Medicare Advantage.