Member Services Advocate — Health Plan Support

Corewell Health Corporate; Fort Wayne (IN); On-site; USD 32,000 - 48,000; Full time

Benefits offered by this job

Comprehensive benefits package

On-demand pay program by Payactiv

Discounts directory for members

Identity theft protection

Retirement options with company match

Job summary

Corewell Health is seeking a Customer Service Assistant to support members, employer groups, providers, and agents with benefits access, claims, billing, and enrollment inquiries. You will resolve complex questions and guide customers across Priority Health products, delivering a high-touch service experience via phone, chat, and email.

In this role you will collaborate with internal teams, escalate issues when needed, and contribute to process improvements while upholding corporate values and

Qualifications

• High School Diploma or equivalent.
• 2 years of relevant experience in customer-facing service on phone or in person.
• Experience in medical billing, insurance, or managed health care is preferred.

Responsibilities

• Assist and educate members, employer groups, providers, colleagues, and agents on benefits access.
• Resolve complex service inquiries, including claims, billing, and eligibility.
• Maintain documentation of interactions and escalate issues as needed.
• Educate customers about benefits and enrollment changes.
• Identify trends and suggest process improvements to leadership.

Skills

Customer-facing service

Phone support

High volume call center

Medical billing

Insurance environment

Claims processing

Managed health care

Education

High School Diploma or equivalent

Associate's Degree (preferred)

Job description

Corewell Health is seeking a Customer Service Assistant to support members, employer groups, providers, and agents with benefits access, claims, billing, and enrollment inquiries. You will resolve complex questions and guide customers across Priority Health products, delivering a high-touch service experience via phone, chat, and email.

In this role you will collaborate with internal teams, escalate issues when needed, and contribute to process improvements while upholding corporate values and