Member Services Specialist — Hybrid Benefits Educator

Unite Here Health; Oak Brook (IL); Hybride; USD 26 000 - 32 000; Plein temps

Avantages offerts par ce poste

Medical insurance

Dental insurance

Vision insurance

Paid Time Off

Paid Holidays

401(k)

Pension

Short- & Long-term Disability

Life, AD&D

Flexible Spending Accounts

Commuter Transit

Tuition Assistance

Employee Assistance Program (EAP)

Résumé du poste

UNITE HERE HEALTH in Oak Brook, IL seeks a Member Services Representative I to serve as the primary contact for members, unions, employers, providers, and vendors on benefits, claims, and eligibility. The role includes enrollment outreach and health education to a diverse population.

The position emphasizes resolving benefit issues, maintaining system knowledge, and supporting daily operations with a focus on service quality and member satisfaction.

Qualifications

• 0–2 years of direct healthcare, insurance, union, or community engagement experience.
• Experience with multi-cultural communities.
• Working knowledge and experience in customer service duties in person and/or over the phone.
• Experience in call center preferred.
• Associate's degree in Healthcare or related field or equivalent work experience required.

Responsabilités

• Serves as the main point of contact for the Fund’s members, unions, employers, providers, and vendors on benefit, claims and eligibility issues, education and questions.
• Receives and records telephone and walk-in inquiries regarding plan benefits, claims and eligibility.
• Performs enrollment functions, including telephonic and in-person outreach.
• Encourages members to take steps to get involved in programs to improve their health; communicates issues to management including trends and anomalies.
• Research benefit, eligibility and claim issues and initiates corrective action with relevant departments.
• Maintains up-to-date knowledge of all systems and sources relating to plan benefits, processes, policies, etc.
• Assists in member outreach, including telephonic and face-to-face in the Fund office, union office and worksites.
• Participates in benefit presentations.
• Assists in daily office operations.

Connaissances

Customer service

Multicultural communication

Formation

Associate's degree in Healthcare or related field or equivalent work experience required

Description du poste

UNITE HERE HEALTH in Oak Brook, IL seeks a Member Services Representative I to serve as the primary contact for members, unions, employers, providers, and vendors on benefits, claims, and eligibility. The role includes enrollment outreach and health education to a diverse population.

The position emphasizes resolving benefit issues, maintaining system knowledge, and supporting daily operations with a focus on service quality and member satisfaction.