Member Services Representative
2 weeks ago
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
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
- Irregular Schedule - Occasionally (1/4 - 2 1/2 hrs.)
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Member Services Representative
4 weeks ago
Springfield, United States Health New England Full timeJob 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...
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Member Service Representative II
1 week ago
Springfield, United States Navy Federal Credit Union Full timeOverview 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....
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Member Service Representative
2 days ago
Springfield, United States Navy Federal Credit Union Full timeOverview 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....
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Member Service Representative
5 days ago
Springfield, United States Navy Federal Credit Union Full timeOverview 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....
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Member Experience Assistant
7 days ago
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Member Experience Assistant
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SPRINGFIELD, United States MassMutual Full timeMember 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...
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Member Experience Assistant
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Springfield, United States MassMutual Full timeMember 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...
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Account Service Representative
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Patient Service Representative
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