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20 jobs similar to Customer Service Representative, Member Care

Jobs ranked by similarity.

US

  • Deliver exceptional member support via phone, chat, and email
  • Educate members on their healthcare benefits, including how to maximize their Garner benefit
  • Handle complex and sensitive conversations with professionalism, empathy, and patience

Garner Health is reshaping the healthcare economy to ensure everyone can afford high quality care. With rapid adoption in the market, they have more than doubled their revenue annually over the last 5 years, becoming the fastest growing company in their space. Garner's award winning culture cultivates teamwork, trust, autonomy, exceptional results, and individual growth.

US

  • Handle inbound customer inquiries in a timely manner via phone, video, email, or chat and track inquiries in a ticketing system.
  • Collaborate with the Product, Sales, Clinical and Customer Experience teams to ensure the best customer experience and high NPS.
  • Work with third party vendors to resolve healthcare device related issues and troubleshoot, triage, and escalate support issues across multiple areas.

Twin Health empowers people to improve and prevent chronic metabolic diseases with AI Digital Twin technology. They have been recognized for their innovation and culture and are scaling rapidly across the U.S. and globally.

$1,327–$1,327/yr
Mexico 2w PTO

  • Establishes a connection with customers to gather and capture information, to file a first notice of loss claim
  • Provides an overview of the basic claims process and information of a general nature to customers.
  • Receives, screens, and routes incoming telephone calls and other electronic correspondence.

Integon is a division in Mexico of one of the largest insurance companies in the United States of America. They provide support to its insurance company affiliates, offering property and casualty insurance products and have been certified as a Great Place To Work since 2019.

  • Serving as the first point of contact for members and providers.
  • Navigating multiple systems and balancing several interactions at once.
  • Documenting thoroughly, taking ownership of issues, and following through until every customer feels heard and supported.

Guidehealth is a data-powered healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment for providers. Driven by empathy and powered by AI, Guidehealth leverages remotely-embedded Healthguides and a Managed Service Organization.

US

  • Administer FMLA, State, ADA, and company leaves, adhering to state and federal guidelines and customer policies.
  • Handle a high volume of Bilingual Spanish incoming calls promptly and professionally, providing efficient follow-up via phone and email.
  • Maintain complete and accurate leave documentation within our database, demonstrating respect and confidentiality for callers.

ComPsych is a global leader in organizational mental health, well-being, and absence management, dedicated to maximizing human potential in workplaces. They serve over 75,000 customers worldwide, impacting over 160 million lives across 200 countries, combining technology with human expertise.

US

  • Answer a high volume of inbound calls and chats from members, providers, and vendors.
  • Own the member's journey, including researching and resolving complex cases.
  • Explain all available benefits and help members understand their healthcare options.

Included Health delivers integrated virtual care and navigation. They break down barriers to provide high-quality care for every person, offering care guidance, advocacy, and access to personalized virtual and in-person care. They are an equal opportunity employer.

$43,000–$56,200/yr

  • Manages client denials and concerns through analytic review of clinical documentation.
  • Delivers final determination based on skillsets and partnerships with Humana parties.
  • Investigates and resolves member and practitioner issues via phone or face to face to support quality goals.

Humana Inc. is committed to putting health first for teammates, customers, and the company. Through Humana insurance services and CenterWell healthcare services, they strive to make it easier for millions to achieve their best health, delivering needed care and service.

Global Unlimited PTO

  • Provide customer service support to the providers via phone and email
  • Provide accurate reporting data in compliance with industry standard
  • Be point of contact for the event vendor management process includes activating and adding new vendors

Sutherland is a digital transformation company and Great Place to Work certified, helping customers globally achieve greater agility and transform automated customer experiences for over 35 years. They work with some of the world’s most known brands in dozens of industries.

US

  • Connect with customers via phone/email/chat/and or social media to resolve their questions or concerns
  • Calmly attempt to resolve and de-escalate any issues
  • Escalate interactions when necessary and appropriate

TP is a global, digital business services company. They deliver the most advanced, digitally powered business services to help the world’s best brands streamline their business in meaningful and sustainable ways. TP has more than 500,000 inspired and passionate people speaking more than 300 languages and a global scale and local presence.

  • Assist customers across multiple channels to deliver a consistent and positive experience.
  • Resolve inquiries and issues promptly, taking ownership until resolution.
  • Actively listen and identify customer needs, offering appropriate solutions.

Protective helps protect customers against life’s uncertainties, providing protection and peace of mind when customers need it most. They offer a supportive environment with comprehensive benefits, focusing on employee well-being and work/life balance.

$40,000–$41,000/yr
US

  • Correspond with callers providing benefit information, claim status, or general health plan information.
  • Thoroughly and accurately answer questions about customers’ healthcare accounts.
  • Handle 35-50+ inbound and outbound phone calls per day.

Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs.

US Unlimited PTO

  • Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
  • Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
  • Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members

Pair Team is an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, they deliver whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities they serve.

$55,000–$65,000/yr
US

  • Be a first point of contact and deliver exemplary service to our members and providers through multiple channels including phone, email and live chat
  • Support members in account set up, enrollment, pharmacy coordination, and booking appointments with providers
  • Provide first-line technical support and escalate technical and member experience issues following standardized operating procedures

Maven Clinic is the world's largest virtual clinic for women and families, aiming to make healthcare accessible for everyone. They provide clinical, emotional, and financial support via their digital platform, serving over 2,000 employers and health plans; they have a flexible and inclusive work environment and have received over 30 workplace and innovation awards.

$16–$16/hr
US

  • Communicate with our members via phone and email, exhibiting care in every interaction
  • Listen to our members, providing empathy and solutions to their unique needs
  • Accurately document Member interactions and activity

Achieve is a digital personal finance company helping people move from struggling to thriving by providing innovative, personalized financial solutions. They leverage data and analytics to tailor solutions for each step of their member's financial journey.

$40,222–$48,267/yr
Canada 4w PTO

  • Manage a caseload of in-progress applications through the underwriting process
  • Coordinate and follow up on medical exam bookings with vendors and clients
  • Handle inbound calls and respond to client emails

PolicyMe is Canada’s leading digital insurance solution, offering straightforward and affordable financial protection for families. They operate with a remote-first culture and have sold over $10 billion in insurance coverage since 2018.

  • Assist members with online registration and navigation for our web portal and mobile app.
  • Educate members about OTIP’s products and services to ensure members’ needs are being fully met by OTIP.
  • Provide timely and accurate information in response to incoming telephone inquiries using an automated telephone system, computer applications, training material and other applicable resources.

OTIP Group of Companies (OGC) believes that something special happens when employees feel valued for the work they do, supported as the people they are, and included in the very fabric of the organization. They deliver meaningful benefits support and service.

$37,440–$37,440/hr
US

  • Answer incoming inquiries from patients, answer questions, and schedule appointments
  • Make outbound phone calls to patients, pharmacies, and insurance companies
  • Create and triage tickets in ServiceNow

Talkiatry transforms psychiatry with accessible, human, and responsible care. They’re a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist to solve the problems both groups face in accessing and providing the highest quality treatment.

Latin America

  • Manage schedules and provide administrative support.
  • Review payroll and assist with benefits and timesheets.
  • Support patient satisfaction and handle communications.

They operate a busy U.S.-based home care agency, providing support to patients and caregivers across various administrative and operational needs. The agency is seeking a reliable, detail-oriented, and compassionate Virtual Care Coordinator who can manage day-to-day communication and logistics.

US Unlimited PTO

  • Assist potential customers with navigating the online insurance shopping experience.
  • Answer and resolve basic administrative and billing questions for existing customers.
  • Propose process and product solutions to improve the customer experience.

SimplyInsured's mission is to eliminate fear in health insurance by helping small business owners purchase the right insurance for their employees. With over 20,000 customers and partnerships with NetSuite, Toast, and Square, they are disrupting the industry by making it more transparent and accessible.

$23–$25/hr
US

  • Act as the primary point of contact for new patients calling and emailing in.
  • Efficiently register and onboard a high volume of new patients.
  • Precisely verify patient insurance information to confirm active coverage and eligibility.

Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team that values its employees.