Member Service Representative in United States at Jobgether
Explore Related Opportunities
Job Description
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Member Service Representative based in the United States.
This role is centered on delivering high-quality, compassionate support to members in a healthcare service environment. You will serve as a key point of contact, handling inbound and outbound calls to assist members with a wide range of inquiries, from general information to more complex issue resolution. The position requires strong communication skills, attention to detail, and the ability to navigate multiple systems while maintaining a positive member experience. You will collaborate closely with internal teams to research and resolve issues efficiently, ensuring accuracy and consistency in all interactions. This is a fast-paced, service-driven role where empathy, critical thinking, and professionalism directly impact member satisfaction and trust. You will also contribute to process adherence, documentation accuracy, and continuous improvement of service quality within the team.
- Handle inbound and outbound calls from members, providing accurate information and resolving inquiries across a wide range of healthcare-related topics.
- Verify member information and ensure all interactions are handled with accuracy, confidentiality, and compliance standards.
- Research and resolve member issues in collaboration with internal teams and escalate complex cases when necessary.
- Maintain detailed and accurate documentation of member interactions, case updates, and system records.
- Follow established procedures and quality standards while meeting performance and productivity expectations.
- Communicate effectively with members, peers, and supervisors to ensure seamless service delivery.
- Participate in required training sessions and apply learned procedures consistently in daily work.
- Support outbound outreach efforts to provide updates, gather information, or complete issue resolution.
- Maintain organized work queues and ensure timely follow-up on assigned tasks.
- Contribute to maintaining a positive member experience through professional, empathetic communication.
- High school diploma or GED required.
- 2+ years of customer service experience, preferably in a call center environment.
- Strong communication skills, both written and verbal, with excellent telephone etiquette.
- Ability to manage multiple systems simultaneously and navigate digital tools efficiently.
- Strong attention to detail with the ability to follow structured processes and guidelines.
- Excellent problem-solving skills using predefined procedures and escalation pathways when needed.
- Ability to remain organized and manage multiple priorities in a fast-paced environment.
- Comfortable working remotely with strong self-management, reliability, and time management skills.
- Preferred: Associate degree or higher in a healthcare-related field.
- Preferred: Additional experience in healthcare customer service or insurance-related environments.
- Competitive compensation aligned with experience and role requirements.
- Healthcare coverage options including medical, dental, and vision plans.
- Paid time off and recognized holidays.
- Remote work flexibility depending on role eligibility.
- Training and onboarding programs to support professional development.
- Opportunities for career growth within a healthcare-focused service organization.
- Retirement and savings plan options where applicable.
- Supportive team environment focused on service excellence and collaboration.