Member Services Representative

2 weeks ago


Springfield, United States Health New England Full time
SUMMARY: The Member Services Representative provides superior customer service to members, providers, and employer groups.

ESSENTIAL FUNCTIONS:

  • Responds to inquiries from members, providers, and employer groups, providing superior product and benefit information for multiple HNE plans
  • Researches and resolves complex member inquiries via telephone, member mail, e-mail and fax
  • Educates members, employers and providers regarding benefits, policies, and procedures
  • Meets individual and departmental standards
  • Researches and resolves complex pharmacy issues utilizing the Reclaims system and the HNE Pharmacy Services Department
  • Performs New Member Outreach Calls
  • Processes member transactions, including but not limited to PCP changes, demographic changes, ID card requests and membership material requests
  • Collaborates with Enrollment, Claims, Health Services, Pharmacy, Legal, and Sales to ensure that member issues are appropriately resolved
  • Adheres to all regulatory requirements relating to member confidentiality, documentation, quality, and inquiry response time
MINIMUM REQUIREMENTS:

Associates degree and at least two years of customer service/call center experience within the managed care, insurance, or related call center industries or an equivalent combination of education and experience.
  • Demonstrated listening and customer service skills
  • Very good verbal and written communication skills
  • Multi-tasking and detail oriented skills
  • Problem resolution skills
  • Very good interpersonal and negotiation skills
  • Good organizational ability
  • PC knowledge - preferably with the Microsoft suite of products
WORKING CONDITIONS: Works in a standard office-based environment
  • Irregular Schedule - Occasionally (1/4 - 2 1/2 hrs.)


  • Springfield, United States Health New England Full time

    Job DescriptionJob DescriptionSUMMARY: The Member Services Representative provides superior customer service to members, providers, and employer groups.ESSENTIAL FUNCTIONS:Responds to inquiries from members, providers, and employer groups, providing superior product and benefit information for multiple HNE plansResearches and resolves complex member...


  • Springfield, United States Navy Federal Credit Union Full time

    Overview To provide members and prospective members the full range of products and services offered by Navy Federal Credit Union including depository accounts such as checking, savings, certificate IRA, revocable trust and estate accounts; Lending products; and credit/debit cards. To perform moderately complex platform banking functions under supervision....


  • Springfield, United States Navy Federal Credit Union Full time

    Overview To provide members and prospective members the full range of products and services offered by Navy Federal Credit Union including depository accounts such as checking, savings, certificate IRA, revocable trust and estate accounts; Lending products; and credit/debit cards. To perform moderately complex platform banking functions under supervision....


  • Springfield, United States Navy Federal Credit Union Full time

    Overview To provide members and prospective members the full range of products and services offered by Navy Federal Credit Union including depository accounts such as checking, savings, certificate IRA, revocable trust and estate accounts; Lending products; and credit/debit cards. To perform moderately complex platform banking functions under supervision....


  • Springfield, United States MassMutual Full time

    Member Experience Assistant, Operations/Member Service Mass Mutual Federal Credit Union, Springfield(Full-Time, Non-Exempt)The OpportunityThe role of Member Experience Assistant (MEA) is an important role within the Credit Union. In this role, the individual assists members and non-members with Credit Union needs. This includes greeting members and...


  • SPRINGFIELD, United States MassMutual Full time

    Member Experience Assistant, Operations/Member Service Mass Mutual Federal Credit Union, Springfield(Full-Time, Non-Exempt)The OpportunityThe role of Member Experience Assistant (MEA) is an important role within the Credit Union. In this role, the individual assists members and non-members with Credit Union needs. This includes greeting members and...


  • Springfield, United States MassMutual Full time

    Member Experience Assistant, Operations/Member Service Mass Mutual Federal Credit Union, Springfield(Full-Time, Non-Exempt)The OpportunityThe role of Member Experience Assistant (MEA) is an important role within the Credit Union. In this role, the individual assists members and non-members with Credit Union needs. This includes greeting members and...


  • Springfield, United States Wil Fischer Distributing Companies Full time

    Job DescriptionJob DescriptionAccount Service RepresentativeDepartment: SalesLocation: Springfield, MO Reports to: Department Team Leader Hours: Monday - Friday Pay: $18/hourMileage: Personal vehicle is used and paid mileageJob Description:Account Service Representatives are responsible for producing maximum sales and distribution of draft and/or package...


  • Springfield, United States VCA Antech, Inc. Full time

    VCA Old Marple Animal Hospital is seeking an experienced Client Service Representative to join our well-established, multi-doctor, 24 hour emergency/general practice located in Springfield, Pennsylvania. Client Service Representative We are seeking an experienced Client Service Representative to join our team, minimum five years customer service experience...


  • Springfield, United States ZOLL LifeVest Full time

    Job DescriptionJob DescriptionPosition Title: Patient Service Representative (PSR)Remote independent contract worker positionCompetitive fee for serviceFlexibility – work around your scheduleLifesaving medical technologyThe Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect and manage cardiac patients, including...


  • Springfield, United States Wil Fischer Distributing Companies Full time

    Job DescriptionJob DescriptionAccount Service RepresentativeDepartment: SalesLocation: Branson, MOReports to: Department Team Leader Hours: Monday - Friday Pay: $18/hourMileage: Personal vehicle is used and paid mileageJob Description:Account Service Representatives are responsible for producing maximum sales and distribution of draft and/or package...


  • Springfield, United States ZOLL LifeVest Full time

    Job DescriptionJob DescriptionPosition Title: Patient Service Representative (PSR)Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, MA, Phlebotomy, RCIS, CVT, EKG Technician, etc. All candidates reviewed on an individual basis.Summary Description:ZOLL, manufacturer of the LifeVest wearable defibrillator, is seeking a...


  • Springfield, United States Uriah Products LLC Full time

    Job DescriptionJob DescriptionNOW HIRING An after sales service representative: The After-Sales Service Representative supports the organization by providing front-line assistance to customers and authorized service centers. This role acts as a liaison and is responsible for listening and responding to customer inquiries, communicating detailed product...


  • Springfield, United States MAT Holdings Full time

    **Product Service Representative** * 118 W Rock St, Springfield, MN 56087, USA * Full-time **Company Description** Welcome to the exciting world of MAT Holdings, Inc. We are an entrepreneurial manufacturer and distributor leveraging a vast network of global and domestic resources to deliver quality and value to our customers. You will find our products in...


  • Springfield, United States City of Springfield, Massachusetts Full time

    Responsible for answering questions, providing information, and requesting services from City departments. Work is performed under the supervision of the 311 Call Center Director. No supervision is exercised over other employees. Essential Function Call Center, Representative, Customer Service, Service, Retail


  • Springfield, United States Listedbuy Full time

    **Customer Care Representative I** - Jul 16, 2021 Anthem Description SHIFT: Day Job SCHEDULE: Full-time Your Talent. Our Vision. At Anthem, Inc. it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we...


  • Springfield, United States BILL CAVINEE INSURANCE Full time

    Job DescriptionJob DescriptionAre you looking for a chance to break into the insurance industry?If you enjoy interacting with people, providing outstanding customer service, and are looking for a rewarding career, Bill Cavinee Allstate Insurance in Springfield, might be the right place for you. We are currently looking for a Full-Time Insurance Customer...


  • Springfield, United States Graybar Full time

    Make a difference. As a Customer Service Representative, you will serve as a key contact and liaison for customers to ensure their total satisfaction. You will interact with customers on an ongoing basis, entering orders, handling requests and providing support needed in a timely, professional and courteous manner. In this role you will: Ensure every...


  • Springfield, United States Graybar Full time

    Make a difference. As a Customer Service Representative, you will serve as a key contact and liaison for customers to ensure their total satisfaction. You will interact with customers on an ongoing basis, entering orders, handling requests and providing support needed in a timely, professional and courteous manner. In this role you will: Ensure every...


  • Springfield, Illinois, United States Hire-Standard Staffing Full time

    Position: Benefits Representative - Great Development OpportunitiesCrafting Brighter Futures for FamiliesAt the forefront of specialized financial services, Globe Life helps families safeguard their assets and promises a profound purpose: ensuring a brighter future for every client.Role Overview:As a Benefits Representative, you play a pivotal role in...