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SIHO Insurance Services · 2 weeks ago

Member Services Representative

417 Washington Street - Columbus, IN 47201

Full-time

Onsite

Entry Level

2+ years exp

SIHO Insurance Services is dedicated to providing an excellent experience for its members and their providers. The Member Services Representative will primarily respond to inquiries from members and providers, assisting with healthcare navigation and addressing concerns while ensuring compliance with regulatory requirements.

Employee BenefitsFinancial ServicesHealth CareHealth InsuranceInsurance

Responsibilities

Assist members with navigating their healthcare needs by explaining benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate

Comply with regulatory requirements while addressing customer needs which may include complex benefit questions

Record details of inquiries, comments, complaints, and transactions

Escalate unresolved and pending customer grievances

Support teammates as business needs require to ensure the organization is meeting the needs of our members and providers

Strive for first call resolution while demonstrating SIHO’s dedication to proactively work to resolve members questions and concerns

Work with partners in other departments, or to Doctors’ offices to help resolve a customer concern

Support your teammates as business needs require to ensure we are meeting the needs of our customers

Performs other relevant duties deemed necessary to achieve department and company-wide goals

Qualification

Customer service experienceHealthcare knowledgeMicrosoft OfficeHIPAA complianceListening skillsEmotional intelligenceCommunication skillsProblem solvingTeam collaboration