Member Benefits & Care Advocate

Siho Insurance Group; Columbus (IN); Hybrid; USD 32,000 - 42,000; Full time

Job summary

SIHO Insurance Group in Columbus, Indiana is seeking a friendly Member Services Representative to assist members and providers. The role focuses on handling inquiries by phone and written channels, explaining benefits, resolving issues, and supporting colleagues while maintaining HIPAA compliance.

This is a non-exempt, on-site position reporting to the Manager of Member Services, offering a collaborative environment with opportunities to grow in healthcare customer service.

Qualifications

• High School Diploma required and 2 years of customer service experience.
• Healthcare experience is a plus but not required.
• Strong communication and active listening skills are essential.

Responsibilities

• Assist members with navigating healthcare benefits, resolving questions, and guiding them to appropriate providers.
• Explain benefits and resolve claim concerns over the phone and in written form.
• Record inquiries, comments, complaints, and transactions accurately.
• Escalate unresolved issues and patient grievances as needed to ensure resolution.

Skills

Customer service

Communication

Empathy

Problem solving

HIPAA knowledge

Education

High School Diploma

Tools

Microsoft Office

Job description

SIHO Insurance Group in Columbus, Indiana is seeking a friendly Member Services Representative to assist members and providers. The role focuses on handling inquiries by phone and written channels, explaining benefits, resolving issues, and supporting colleagues while maintaining HIPAA compliance.

This is a non-exempt, on-site position reporting to the Manager of Member Services, offering a collaborative environment with opportunities to grow in healthcare customer service.