Member Services Advocate

Cottingham & Butler; Madison (WI); On-site; USD 55,000 - 85,000; Full time

Benefits offered by this job

Flex Spending/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 experienced Member Services Advocates to help members navigate complex health plans and employer benefits. You will guide individuals through coverage scenarios, resolve escalated claims, and coordinate with providers, carriers, and third-party administrators to ensure accurate and timely resolutions.

This role requires a strong background in health insurance, claims resolution, or benefits administration, with a focus on ownership, critical thinking, and discreet

Qualifications

• Experience navigating health plans and claims processes.
• Ability to interpret plan details and drive outcomes across stakeholders.
• Strong ownership and critical thinking in complex situations.

Responsibilities

• Guide individuals through complex coverage scenarios.
• Resolve escalated claims and billing issues.
• Partner with providers, carriers, and third-party administrators to ensure timely resolution.
• Advocate on behalf of members in multi-party situations.

Skills

Health insurance

Claims resolution

Benefits administration

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

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.

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