Member Services Specialist

SGS Consulting; Austin (TX); On-site; USD 35,000 - 45,000; Full time

Job summary

SGS Consulting in Austin, TX is seeking a Customer Service Associate to respond to member inquiries via phone, email, and chat about benefits, claims, and coverage.

You will resolve issues promptly, document actions accurately, and collaborate with internal teams to ensure a seamless member experience and high-quality service.

Qualifications

• High School Diploma is required.
• Experience in healthcare or member services is a plus.

Responsibilities

• Respond to member inquiries via phone, email, and chat regarding benefits, claims, and coverage.
• Resolve issues promptly while ensuring accurate documentation and adherence to service standards.
• Collaborate with internal teams to deliver a seamless and informed member experience.

Skills

Communication

Customer service

CRM systems

Healthcare platforms

First-call resolution

Education

High School Diploma

Tools

HSP

HealthTrio

Job description

Job Responsibilities

• Respond to member inquiries via phone, email, and chat regarding benefits, claims, and coverage.
• Resolve issues promptly while ensuring accurate documentation and adherence to service standards.
• Collaborate with internal teams to deliver a seamless and informed member experience.

Skills

• Strong communication and customer service skills with the ability to explain complex healthcare information clearly.
• Proficient in using CRM systems and navigating healthcare platforms like HSP, HPS, and HealthTrio.
• Detail-oriented, with problem-solving abilities and a focus on first-call resolution and service quality.

Education/Experience

• High School Diploma