Member Services Advocate

HealthCheck360; Dubuque (IA); On-site; USD 50,000 - 65,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Flex Spending / HSA

401(k) with company match

Profit sharing

PTO & holidays

Disability insurance

Parental leave

Parking

Life Insurance

Job summary

HealthCheck360 in Dubuque, IA is seeking a Member Services Advocate to guide members through complex coverage scenarios and advocate for timely issue resolution.

The role requires experience in health insurance, claims resolution, or benefits administration, and the ability to coordinate with providers, carriers, and TPA partners.

This is a full-time, benefits-rich position emphasizing ownership, critical thinking, and member-facing advocacy.

Qualifications

• Experience navigating health plans and claims processes.
• Direct interaction with providers or carriers is preferred.
• Strong ability to advocate for members in complex situations.

Responsibilities

• Guide individuals through complex coverage scenarios.
• Resolve escalated claims and billing issues.
• Partner with providers, carriers, and TPAs to ensure accurate resolutions.

Skills

Health insurance understanding

Claims resolution

Benefits administration

Advocacy

Stakeholder coordination

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.

Full-Time Benefits -

Most benefits start day 1

• Medical, Dental, Vision Insurance
• 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
• Subsidized Parking
• Company-paid Term Life/Accidental Death Insurance

About HealthCheck360

HealthCheck360 was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through our Health Coaching and Condition Management programs.