Remote Member Benefits Specialist (EST)

Saveway USA Corporation; Richfield (OH); Remote; USD 40,000 - 45,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k)

Short Term Disability

Long Term Disability

Tuition Assistance

Paid Time Off

Job summary

Group Management Services (GMS) is seeking a full-time Member Benefits Specialist with excellent customer service skills. The role focuses on answering calls and emails, quoting health benefit plans, and resolving member inquiries to ensure satisfaction.

Responsibilities include entering pre-claim information, assisting with training, and supporting the team in a fast-paced environment. GMS offers comprehensive benefits and growth opportunities.

Qualifications

• Education – High School Diploma or GED.
• Experience – 1-3 years related experience preferred; experience in a TPA environment preferred.
• Ability to read and understand various benefit forms, documentation, files and information in the department.
• Understanding of medical terminology.
• Excellent interpersonal skills.

Responsibilities

• Answer calls and/or correspondence (emails) from members, client, & providers.
• Review Health Benefit plans to accurately quote to members / providers and use that information to answer questions.
• Communicate details and resolve issues with members.
• Enter pre-claim information and attach scanned documents.
• Work with manager on difficult situations to ensure quick resolution.
• Assist with training new member benefits specialists as needed.
• Open, sort, scan mail; sort faxes.
• Perform all other duties as assigned.

Education

High School Diploma or GED

Job description

Group Management Services (GMS) is seeking a full-time Member Benefits Specialist with excellent customer service skills. The role focuses on answering calls and emails, quoting health benefit plans, and resolving member inquiries to ensure satisfaction.

Responsibilities include entering pre-claim information, assisting with training, and supporting the team in a fast-paced environment. GMS offers comprehensive benefits and growth opportunities.