As a Member Service Representative you will be the go-to resource for members and providers who need support navigating health plans, services, and benefits.
Responsibilities You’ll play a key role in ensuring timely, accurate, compassionate service by:
Recording and routing appeals and grievances according to established procedures.
Educating members on referral processes, online tools, and key resources.
Assisting members, providers, brokers, and partners with claims or billing inquiries.
Collaborating across departments to resolve issues within required timeframes.
Managing challenging conversations with professionalism, empathy, and tact.
Reporting system or call-related issues requiring urgent attention.
Providing courteous, informed support to all individuals encountered in your work.
Qualifications
High School Diploma.
A minimum of 3 years of experience working in a call center
A minimum of 3 years of previous experience working in the healthcare industry (required), HMO experience is a plus.
Basic computer skills, including electronic mail, routine databases, word processing, spreadsheets, graphics, Salesforce, Genesis, etc.
Ability to type 40 WPM or higher
Bilingual in any language is a plus!
Eligible for hybrid work post training 4-6 months.
Hours: Must be willing to work call center hours 7am-7pm including weekends.
Benefits include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, an EAP program, commuter benefits, and a 401K plan. Our program allows employees to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
The California Fair Chance Act
Los Angeles City Fair Chance Ordinance
Los Angeles County Fair Chance Ordinance for Employers
#J-18808-Ljbffr
Responsibilities You’ll play a key role in ensuring timely, accurate, compassionate service by:
Recording and routing appeals and grievances according to established procedures.
Educating members on referral processes, online tools, and key resources.
Assisting members, providers, brokers, and partners with claims or billing inquiries.
Collaborating across departments to resolve issues within required timeframes.
Managing challenging conversations with professionalism, empathy, and tact.
Reporting system or call-related issues requiring urgent attention.
Providing courteous, informed support to all individuals encountered in your work.
Qualifications
High School Diploma.
A minimum of 3 years of experience working in a call center
A minimum of 3 years of previous experience working in the healthcare industry (required), HMO experience is a plus.
Basic computer skills, including electronic mail, routine databases, word processing, spreadsheets, graphics, Salesforce, Genesis, etc.
Ability to type 40 WPM or higher
Bilingual in any language is a plus!
Eligible for hybrid work post training 4-6 months.
Hours: Must be willing to work call center hours 7am-7pm including weekends.
Benefits include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, an EAP program, commuter benefits, and a 401K plan. Our program allows employees to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
The California Fair Chance Act
Los Angeles City Fair Chance Ordinance
Los Angeles County Fair Chance Ordinance for Employers
#J-18808-Ljbffr