Member Services Representative

MJHS; New York (NY); On-site; USD 25,000 - 33,000; Full time

Job summary

Metropolitan Jewish Health System, Inc. is seeking a Customer Service Associate in New York to handle member and provider inquiries related to benefits, claims, and complaints within a call center setting. You will log calls, process requests for claim adjustments, and assist with disenrollment as needed.

The role requires a High School Diploma and at least six months of call center experience, with strong telephone communication skills and a professional demeanor in a fast-paced environment.

Qualifications

• High School Diploma or equivalent required.
• Minimum 6 months call center experience.
• Proficiency in Microsoft Word.
• Excellent telephone communication and a professional demeanor.
• Ability to manage multiple tasks in a fast-paced environment.

Responsibilities

• Responds to member and provider inquiries and requests concerning benefits, claims and complaints within a call center environment to ensure high quality customer service.
• Receives calls from members and providers and documents details of each interaction.
• Responds to customer complaints and grievances and records all calls.
• Handles requests for adjustments on claim issues and disenrollment when applicable.

Skills

Call center experience

Excellent telephone communication

Multitasking

Professional demeanor

Education

High School Diploma

Tools

Microsoft Word

Job description

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Responds to member and provider inquires and requests concerning benefits, claims and complaints within a call center environment in order to ensure high quality customer service to members and providers. Receives calls from members and providers. Responds to customers complaints and grievances. Records all calls and detail. Receives requests for adjustments on claim issues. Receives requests for disenrollment.

• High School Diploma
• Minimum 6 months call center experience
• Microsoft Word
• Excellent skills in telephone communication and a professional demeanor
• Ability to manage multiple tasks and work consistently in a fast-paced environment