Provide live member support, troubleshoot technical issues, and liaise with providers.
•As a Member Support Representative Tier 2, you will provide live support for incoming calls from members seeking guidance on services, eligibility, and benefits.
•You will handle elevated technical troubleshooting, liaise with providers, and support operational projects.
•Key Responsibilities Empathetically interact with members and providers via live inbound calls.
•Document interactions and resolutions to ensure seamless follow-up.
•Verify member eligibility and coverage benefits while communicating information clearly.
•Assist members with troubleshooting platform and account issues.
•Collaborate with peers and internal groups to find accurate solutions to complex problems.
•Requirements Strong oral and written communication skills, adaptable to different situations.
•Ability to manage multiple ongoing tasks without missing deadlines.
•Resilient and capable of quickly adapting to changes in workflows and processes.
•Experience in solving complex problems requiring critical thinking and resource navigation.
•Comfortable with handling sensitive and protected information, including PII and PHI, with a basic understanding of HIPAA.