Member Benefits Specialist: Customer Care & Benefit Quotes

Group Management Services, Inc.; United States; On-site; USD 40,000 - 45,000; Full time

Benefits offered by this job

Medical Benefits

Dental Benefits

Vision Benefits

401(k)

Disability Insurance

Tuition Assistance

PTO

Job summary

Group Management Services, Inc. is seeking a full-time Member Benefits Specialist to handle member inquiries by phone, quote health benefit plans, and resolve issues. The role emphasizes strong customer service and familiarity with medical terminology.

Responsibilities include processing communications, assisting with training new staff, and supporting operations to ensure timely resolutions. The position requires living and working in EST with standard business hours.

Qualifications

• High school diploma or GED required.
• 1–3 years related experience preferred; experience in a TPA environment preferred.
• Ability to read and understand medical forms and benefit documentation.
• Excellent interpersonal skills.

Responsibilities

• Answer calls and/or emails from members, clients, and providers.
• Review Health Benefit plans to quote and answer questions.
• Communicate details and resolve issues with members.
• Enter pre-claim information and attach scanned documents.
• Work with manager on difficult situations to ensure quick resolution.
• Assist with training new member benefits specialists as needed.
• Open, sort, scan mail; sort faxes.
• Perform all other duties as assigned.

Skills

Customer service

Communication

Medical terminology

Interpersonal skills

Education

High School Diploma or GED

Job description

Group Management Services, Inc. is seeking a full-time Member Benefits Specialist to handle member inquiries by phone, quote health benefit plans, and resolve issues. The role emphasizes strong customer service and familiarity with medical terminology.

Responsibilities include processing communications, assisting with training new staff, and supporting operations to ensure timely resolutions. The position requires living and working in EST with standard business hours.