Member Services Advocate — Health Plan Support

LHH

Sacramento (CA)

On-site

USD 42,000 - 62,000

Full time

14 days+

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Job summary

LHH is seeking a customer-focused Member Services Representative in Sacramento to support health plan members, providers, brokers, and partners. You will handle inquiries about benefits, eligibility, claims, and billing, while guiding members to self-service tools and portals.

Deliver empathetic service, document interactions precisely, and collaborate with internal teams to resolve issues and improve the member experience.

Qualifications

Minimum 2+ years of customer service experience, preferably in healthcare or health insurance.
Experience handling high-volume inbound inquiries via multiple channels.
Knowledge of health insurance terminology, benefits, eligibility, and claims processes.
Strong verbal and written communication skills with attention to detail.

Responsibilities

Respond to member inquiries regarding benefits, eligibility, and claims via phone, email, chat, or in person.
Educate members on resources, self-service tools, and member portals.
Document interactions accurately and maintain records in internal systems.
Investigate and resolve complex issues with internal teams and partners.
Escalate appeals, grievances, and billing questions according to procedures.
Support providers, brokers, and members with coverage and claim status queries.