Member Services Advocate

Cottingham & Butler; Davenport (IA); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Flex Spending or HSA

401(k) with company match

Profit-Sharing/Defined Contribution

PTO/Paid Holidays

Company-paid ST and LT Disability

Maternity Leave/Parental Leave

Job summary

Cottingham & Butler is seeking a Member Services Advocate in Davenport, Iowa. This role focuses on providing advanced advocacy services, helping members navigate complex healthcare issues and insurance claims. Ideal candidates are experienced in the health insurance sector and skilled at resolving issues for members.

Strong critical thinking and the ability to manage sensitive scenarios with minimal oversight are key. The role requires a proactive approach to interacting with healthcare providers and carriers, ensuring timely resolutions for complex problems.

Qualifications

• Proven experience navigating health plans and claims processes.
• Hands-on experience with healthcare providers or carriers.
• Comfort managing complex, multi-layered issues.

Responsibilities

• Guide individuals through complex coverage scenarios.
• Resolve escalated claims and billing issues.
• Partner with providers, carriers, and administrators for resolution.

Skills

Health insurance expertise

Claims resolution

Critical thinking

Advocating for members

Job description

Member Services Advocates play a critical role in delivering advanced advocacy services, serving as a trusted resource for members navigating complex healthcare and employer benefit situations. This role is intended for experienced professionals with a strong background in health insurance, claims resolution, or benefits administration who can independently assess issues, interpret plan details, and drive outcomes across multiple stakeholders.

In this role, you will guide individuals through complex coverage scenarios, resolve escalated claims and billing issues, and partner directly with providers, carriers, and third-party administrators to ensure accurate and timely resolution. This position requires a high degree of ownership, critical thinking, and the ability to manage sensitive or multi-layered issues with minimal oversight.

We are seeking candidates who bring proven, hands-on experience navigating health plans and claims processes, including direct interaction with providers or carriers. Successful candidates will be confident advocating on behalf of members in complex situations and comfortable managing issues that require coordination across multiple parties. This role is best suited for individuals with experience in health insurance, TPAs, provider offices, or benefits administration who are ready to apply their expertise in a highly specialized, member-facing advocacy role.

• Flex Spending or HSA
• 401(k) with company match
• Profit-Sharing/Defined Contribution (1-year waiting period)
• PTO/Paid Holidays
• Company-paid ST and LT Disability
• Maternity Leave/Parental Leave