Member Service Representative II (Hybrid)
About this role
Member Service Representative II (Hybrid)
PURPOSE: The Rep, Member Service II is responsible for complex benefits, claims, and general inquiries. They have broader knowledge of the following: systems, benefits, contracts/products, functions of other departments in the company, standard operating procedures, claims status, enrollment/billing and follow-up to a customer inquiry.
ESSENTIAL FUNCTIONS: Answers complex member inquiries by clarifying desired information; researching, locating, and providing information. Resolves complex member service problems by clarifying issues; researching and exploring answers and alternative solutions; implementing solutions; escalating unresolved problems.
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