Member Services Advocate

5 days ago

Long Beach, California, United States HealthCHEC Full time
About the Role

We are seeking a highly skilled and compassionate Member Services Advocate to join our team at HealthCHEC. As a Member Services Advocate, you will play a critical role in ensuring the satisfaction of our members by providing exceptional customer service and support.

Key Responsibilities
  • Member Support: Serve as a point of contact for member questions and concerns regarding benefits, eligibility, referrals, claims, and other aspects of plan benefits and services.
  • Customer Service: Provide superior customer service and maintain a professional demeanor at all times, even in highly charged situations.
  • Benefits Education: Educate members, family, providers, and caregivers regarding benefits and plan options.
  • Issue Resolution: Accurately explain benefits and plan options, provide follow-up with members, and escalate appropriate member issues to management or other departments as required.
  • Productivity and Quality: Consistently meet and/or exceed departmental standards, including quality, productivity, and adherence to schedule and attendance.
  • Communication: Respond appropriately and in a timely fashion to member/internal staff/providers by answering telephonic and written inquiries concerning benefits, eligibility, referrals, claims, and all other issues following departmental policies and procedures and job aids.
  • Team Collaboration: Participate in member calling projects as assigned by management to support the overall HealthCHEC goal of membership retention.
  • Compliance: Follow all appropriate Federal and State regulatory requirements and guidelines applicable to HealthCHEC operations, as documented in company policies and procedures. Follow all HIPAA requirements.
  • Documentation: Document transactions by completing applicable member forms and summarizing actions taken in appropriate computer systems and following standards set by the department or by other authorized individuals.
Requirements
  • 1-2 years call center or related customer service experience required.
  • 1-2 years of prior experience with Medicare benefits, including Medicare Advantage Plans preferred.
  • Experience in the healthcare, insurance, or pharmacy industry is highly desirable.
  • Ability to maintain a calm demeanor at all times, including during highly charged situations.
  • Data entry and general computer skills (word processing, e-mail) required.
  • Effective communication (oral and written) skills. Professional/pleasant telephone manner required.
  • Ability to handle large call volume, while providing excellent customer service at all times required.
  • Demonstrated efficiency/effectiveness in an environment with a high call volume.

  • Member Services Advocate

    3 days ago

    Long Beach, California, United States HealthCHEC Full time

    About the RoleWe are seeking a highly skilled and compassionate Member Services Advocate to join our team at HealthCHEC. As a Member Services Advocate, you will play a critical role in ensuring our members receive exceptional service and support.Key ResponsibilitiesMember Advocacy: Serve as a point of contact for member questions and concerns regarding...

  • Community Health Advocate

    5 days ago

    Long Beach, California, United States Blue Shield of California Full time

    About the RoleThe Community Health Advocate, Experienced will report to the Director, Social Services. In this role, you will outreach to Blue Shield of California members and conduct assessments for social drivers of health needs. The Community Health Advocate, Experienced will identify resource gaps in medical and community services and support...

  • Member Services Support Specialist

    2 weeks ago

    Long Beach, California, United States SCAN Health Plan Full time

    Member Services Support SpecialistJob Category: Member ServicesRequisition Number: SCANT006235Position Overview: At SCAN Group, we are dedicated to addressing the most significant challenges faced by older adults in the United States. As a not-for-profit organization, we pride ourselves on being the sole corporate member of SCAN Health Plan, a leading...

  • Community Health Advocate, Associate

    5 days ago

    Long Beach, California, United States Blue Shield of California Full time

    About the RoleThe Community Health Advocate, Associate will report to the Manager, Social Services Management at Blue Shield of California. In this role, you will outreach to members and conduct assessments for social drivers of health needs.Key ResponsibilitiesAssess psychosocial and social drivers of health needs for moderate-risk members and document...

  • Senior Member Service Specialist

    2 weeks ago

    Long Beach, California, United States LBS Financial Credit Union Full time

    Job OverviewAre you skilled in providing exceptional customer support within a financial institution, particularly in credit unions or banks?We are seeking a Senior Member Service Specialist dedicated to ensuring a superior experience for both existing and prospective Members. This role is pivotal in delivering personalized service by consistently embodying...

  • Personal Banker

    3 days ago

    Long Beach, California, United States SchoolsFirst Federal Credit Union Full time

    Job SummaryWe are seeking a highly skilled and customer-focused Personal Banker to join our team at SchoolsFirst Federal Credit Union. As a key member of our branch team, you will be responsible for providing exceptional member service, promoting credit union products and services, and processing transactions in a fast-paced and dynamic environment.Key...

  • CSUDH Technology Education Advocate

    2 weeks ago

    Long Beach, California, United States CSUDH Toro Auxiliary Partners Full time

    CSUDH Technology Education Advocate CSUDH Toro Auxiliary PartnersAbout CSUDH Toro Auxiliary PartnersThe California State University, Dominguez Hills Toro Auxiliary Partners has been a vital ally of the University since its inception in 1968, dedicated to enhancing educational programs and services that align with the University's mission. CSU Dominguez Hills...

  • Personal Banker

    9 hours ago

    Long Beach, California, United States SchoolsFirst Federal Credit Union Full time

    Job SummaryWe are seeking a highly skilled and customer-focused Personal Banker to join our team at SchoolsFirst Federal Credit Union. As a Personal Banker, you will be responsible for providing exceptional member service, promoting credit union products and services, and processing transactions in a fast-paced branch environment.Key ResponsibilitiesMember...

  • Food Service Team Member

    5 days ago

    Long Beach, California, United States Chili's Grill & Bar Full time

    Job Summary:We are seeking a highly motivated and enthusiastic Food Runner to join our team at Chili's Grill & Bar. As a Food Runner, you will play a critical role in creating an exceptional experience for our Guests and your fellow Team Members.Key Responsibilities:Deliver food and beverages to Guests in a timely and efficient manner.Provide exceptional...

  • Financial Services Representative

    7 days ago

    Long Beach, California, United States SchoolsFirst Federal Credit Union Full time

    Job SummaryWe are seeking a highly skilled and customer-focused Personal Banker to join our team at SchoolsFirst Federal Credit Union. As a key member of our branch team, you will be responsible for providing exceptional member service, promoting credit union products and services, and processing transactions in a fast-paced and dynamic environment.Key...

  • Member Service Specialist

    1 week ago

    Long Beach, California, United States SchoolsFirst Federal Credit Union Full time

    Job SummaryWe are seeking a highly skilled and customer-focused Personal Banker to join our team at SchoolsFirst Federal Credit Union. As a key member of our branch team, you will be responsible for providing exceptional member service, promoting credit union products and services, and processing transactions in a fast-paced and dynamic environment.Key...

  • Patient Care Advocate

    2 weeks ago

    Long Beach, California, United States Tarzana Treatment Center Full time

    Position OverviewClient Services CoordinatorTarzana Treatment Centers, Inc.About Us:Tarzana Treatment Centers, Inc. is actively seeking a dedicated Client Services Coordinator to become a vital part of our multidisciplinary team focused on Enhanced Case Management. This position is essential for delivering in-person, community-oriented case management...

  • Restaurant Service and Kitchen Team Member

    4 days ago

    Long Beach, California, United States Panda Restaurant Group Full time

    About Us:Panda Restaurant Group is a leading fast-casual restaurant chain that values its team members and provides opportunities for growth and development.Job Summary:We are seeking a Service and Kitchen Team Associate to join our team. As a Service Team Associate, you will create a warm environment for our guests and provide great service. As a Kitchen...

  • Parking Services Manager

    7 days ago

    Long Beach, California, United States ABM SERVICES Full time

    **Job Summary**ABM Services is seeking a highly skilled Aviation Parking Operations Supervisor to oversee the daily operations of our parking facilities. As a key member of our team, you will be responsible for ensuring the smooth operation of our parking services, providing exceptional customer service, and leading a team of parking attendants.**Key...

  • Prepared Food Team Member

    4 days ago

    Long Beach, California, United States Sam's Club Full time

    About the RoleWe are seeking a highly skilled and motivated Team Member to join our Prepared Foods team at Sam's Club. As a key member of our team, you will be responsible for preparing and serving high-quality food products to our members.Key ResponsibilitiesPrepare and serve a variety of food products, including prepared meals and rotisserie chicken, to...

  • Member Care Representative III

    5 days ago

    Long Beach, California, United States LBS Financial Credit Union Full time

    Job Description**Job Summary:**We are seeking a highly skilled and experienced Member Care Representative III to join our team at LBS Financial Credit Union. As a key member of our team, you will be responsible for delivering exceptional customer service to our members, providing personalized support, and ensuring a positive experience for all...

  • Prepared Foods Team Member

    7 days ago

    Long Beach, California, United States Sam's Club Full time

    About the RoleWe are seeking a highly motivated and detail-oriented Food Preparation Specialist to join our team at Sam's Club. As a key member of our food service team, you will be responsible for preparing and serving high-quality food products to our members.Key ResponsibilitiesFood Preparation: Prepare food according to item specifications, adhering to...

  • Customer Service Specialist

    2 weeks ago

    Long Beach, California, United States 4MDental Management Services Full time

    Job OverviewPosition: Call Center RepresentativeOverview: We are looking for a dedicated and customer-focused Call Center Representative to enhance our service delivery. In this role, you will be tasked with ensuring that our clients receive outstanding support through various communication channels including phone, email, and chat.Key...

  • **Housekeeping Team Member**, **Hospitality Attendant**, **Customer Service Representative**

    5 days ago

    Long Beach, California, United States Marriott Full time

    Join Marriott's Housekeeping TeamAbout the Role:We are seeking a highly motivated and detail-oriented individual to join our housekeeping team as a Housekeeping Team Member. As a key member of our team, you will be responsible for ensuring the cleanliness and maintenance of our hotel rooms and public areas.Key Responsibilities:Clean and maintain hotel rooms,...

  • Prepared Food Team Member

    7 days ago

    Long Beach, California, United States Sam's Club Full time

    Job SummaryWe are seeking a highly skilled and motivated Food Service Representative to join our team at Sam's Club. As a Food Service Representative, you will be responsible for preparing and serving high-quality food products to our members, while maintaining a clean and sanitized environment.Key ResponsibilitiesPrepare and serve food products according to...