Healthcare Member Guide

A company is looking for a Member Guide Associate to support members through their healthcare journey.

Key Responsibilities

Serve as the first point of contact for member and provider inquiries, providing support with professionalism and empathy

Manage claims inquiries by documenting, researching, and resolving issues within established service level agreements

Identify trends in inquiries to recommend process improvements and enhance customer experience

Required Qualifications

Minimum of 2 years of experience in health plans, benefits, claims management, or customer service

Strong fluency in health insurance terminology and the ability to explain it clearly

Proficiency with Google Workspace, CRM / ticketing systems, and claims portals

Ability to work weekend shifts

Experience in a fast-moving, ambiguous environment with a focus on delivering exceptional member experiences