Member Services Representative, Sr. addresses more complex health plan or HMO member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for receiving, responding to, and directing member phone calls and written requests. Being a Member Services Representative, Sr. provides available information upon request and researches or escalates issues as appropriate. Maintains confidentiality per HIPAA guidelines. Additionally, Member Services Representative, Sr. requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Member Services Representative, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Member Services Representative, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
About Our Company
Association Member Benefits Advisors (AMBA) is a national full-service insurance agency that provides much-needed insurance coverage to retired and active educators, police, firefighters, and state, city, and municipal workers. Our insurance agents help some of our most selfless servants secure the retirement they deserve. We work to protect the financial well-being of retirees while preserving the quality of life for them and the people they love.
Over 400 associations across all 50 states exclusively endorse AMBA to provide benefits to their members. Some of these associations include the Texas Retired Teachers Association, Georgia Retired Educators Association, Illinois Retired Teachers Association, North Carolina Retired Governmental Employees Association, and the California Retired Teachers Association.
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