Member Service Representative

Solxsys Administrative Solutions; Troy (MI); On-site; USD 36,000 - 52,000; Full time

Job summary

Solxsys Administrative Solutions is seeking a Member Services Representative to be the primary contact for participants, retirees, beneficiaries, employers, and providers, delivering accurate customer service for Taft-Hartley benefit plans.

The role involves handling inquiries by phone, email, and correspondence, explaining health, pension, eligibility, claims, and contribution benefits, and assisting with enrollment forms and beneficiary updates while coordinating across departments to ensure

Qualifications

• Associate's degree preferred or equivalent experience.

Responsibilities

• Respond to participant, employer, retiree, and provider inquiries by phone, email, and correspondence.
• Explain health, pension, eligibility, claims, and contribution benefits.
• Research participant accounts and resolve routine inquiries.
• Document participant interactions in the administration system.
• Assist with enrollment forms, benefit applications, and beneficiary updates.
• Coordinate with Claims, Eligibility, Pension, Contributions, Accounting, and Plan Administration.
• Meet customer service and productivity standards.
• Participate in cross-training and departmental projects.

Skills

Customer Service

Benefit Administration

Communication

Problem Solving

Microsoft Office

Confidentiality

Teamwork

Attention to Detail

Education

Associate's degree or equivalent experience

Job description

Position Summary

The Member Services Representative serves as the primary point of contact for participants, retirees, beneficiaries, employers, and providers by delivering accurate and timely customer service for Taft-Hartley benefit plans.

Mandatory Functions

• Respond to participant, employer, retiree, and provider inquiries by phone, email, and correspondence.
• Explain health, pension, eligibility, claims, and contribution benefits.
• Research participant accounts and resolve routine inquiries.
• Document participant interactions in the administration system.
• Assist with enrollment forms, benefit applications, and beneficiary updates.
• Coordinate with Claims, Eligibility, Pension, Contributions, Accounting, and Plan Administration.
• Meet customer service and productivity standards.
• Participate in cross‑training and departmental projects.

Mandatory Qualifications

• Associate's degree preferred or equivalent experience.
• Mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory mandatory ...

Core Competencies

• Customer Service
• Benefit Administration
• Communication
• Problem Solving
• Microsoft Office
• Confidentiality
• Teamwork
• Attention to Detail

Compliance & Information Security Responsibilities

Protect confidential participant, employer, and plan information while complying with HIPAA, ERISA, SOC 2 requirements, Trust Agreements, Plan Documents, and Solxsys information security policies.