Member Services Advocate

Campus QR; Iowa City (IA); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Flex Spending / HSA

401(k) with company match

Profit-Sharing / Defined Contribution

PTO / Holidays

Disability insurance

Maternity / Parental Leave

Parking

Job summary

Cottingham & Butler seeks a seasoned Member Services Advocate to guide members through complex coverage scenarios, resolve escalated claims and billing issues, and partner directly with providers, carriers, and third-party administrators to ensure accurate, timely resolutions that keep members informed and supported.

You will own cases, balance regulatory requirements with member needs, and communicate clearly across teams in a fast-paced, member-facing environment.

Qualifications

• Experience in health insurance, claims resolution, or benefits administration with ability to assess issues and interpret plan details.
• Ability to navigate complex coverage scenarios and drive outcomes with multiple stakeholders.
• Hands-on experience interacting with providers or carriers to resolve issues.
• Strong ownership mindset and comfort handling sensitive multi-layered cases.

Responsibilities

• Guide members through complex coverage scenarios and benefit details.
• Resolve escalated claims and billing issues with accuracy and timeliness.
• Partner with providers, carriers, and TPAs to ensure effective resolutions.
• Advocate on behalf of members in complex situations and coordinate across parties.

Job description

Member Services Advocate

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 Cottingham & Butler:

At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday - that's who we are and what we believe in.

As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.