Member Services Representative

Responds to member and provider inquiries and requests concerning benefits, claims, and complaints within a call center environment in order to ensure high quality customer service to members and providers. Receives calls from members and providers and responds to customers complaints and grievances. All calls and detail are recorded. Adjustments on claim issues, and requests for disenrollment are processed. It requires excellent skills in telephone communication and a professional demeanor, and ability to manage multiple tasks.