Remote Member Care & Resolution Specialist II

Western Health Advantage; United States; On-site; USD 30,307 - 34,440; Full time

Job summary

Western Health Advantage is seeking a compassionate Member Service Representative II to serve as a primary point of contact for members and providers. This role includes assisting with benefit, eligibility, and claims inquiries while providing exceptional service.

Candidates should have a minimum of two years in customer service, strong communication, and problem-solving skills. The position supports a remote working style and offers an opportunity to make a meaningful impact in people's lives.

Qualifications

• Minimum two years of call center or customer service experience.
• Healthcare or HMO experience preferred.
• Ability to document interactions accurately.

Responsibilities

• Respond to member inquiries via phone, email, chat, and fax.
• Research and resolve member concerns, including complex cases.
• Assist with training and mentoring team members.

Skills

Strong communication

Problem-solving

Customer service skills

Proficiency with basic computer applications

Education

High School Diploma or equivalent

Job description

Western Health Advantage is seeking a compassionate Member Service Representative II to serve as a primary point of contact for members and providers. This role includes assisting with benefit, eligibility, and claims inquiries while providing exceptional service.

Candidates should have a minimum of two years in customer service, strong communication, and problem-solving skills. The position supports a remote working style and offers an opportunity to make a meaningful impact in people's lives.