Member Services Supervisor supervises a group of member services representatives that address health plan or HMO member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for researching more complex questions, investigating the cause of the issue, and responding to members on escalated issues. Being a Member Services Supervisor assists with hiring, training, ongoing monitoring and QA, performance evaluations and any corrective actions of member services representatives. Requires a high school diploma or its equivalent. Additionally, Member Services Supervisor typically reports to a manager. The Member Services Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Thorough knowledge of functional area under supervision. To be a Member Services Supervisor typically requires 3 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)
Description
The Member Services Supervisor’s role is to assist in overseeing and managing a team of Members Service Representatives (MSRs) in the day-to-day operations of contact center operations. The Member Services Supervisor will support MSRs after training by monitoring and documenting MSR progress, ensuring that they understand and meet expectations, answering their questions, and providing them with ongoing coaching opportunities and inspiration. You should be analytical, supportive, and prepared to act as a resource to MSRs. A Member Service Supervisor should be supportive, communicative, and attentive as well as possess strong critical-thinking and decision-making skills.
Requirements
Responsibilities include but are not limited to:
• Assist in the formulation of targets for individuals and teams
• Answer questions from staff and provide guidance and feedback
• Devise ways to optimize procedures and keep staff motivated
• Monitoring and evaluating MSR performance, providing learning or coaching opportunities, and taking corrective action, if necessary
• Ensure adherence to policies for attendance, established procedures etc.
• Identifying operational issues and suggesting possible improvements
• Preparing reports and analyzing data to assist management as they determine call center goals
• Working with other supervisors and management team members to support MSRs and maximize Member satisfaction • Stay appraised of new processes and technology
• Interview and hire new staff
• Other duties as assigned
Requirements:
• Ability to remain calm and respectful under pressure
• Proven leadership skills
• Excellent problem solving, and decision-making skills
• Organizational skills and attention to detail
• Exceptional interpersonal and active listening skills
• Detail oriented with ability to focus on the specifics of each call
• Strong written, & verbal communication skills
• Proficient in Microsoft Outlook, Word, Excel, and PowerPoint
• Adaptable/flexible with ability to frequently shift direction and priorities
• Dependable and reliable
• Autonomous/Independent with ability to work with minimal direction
• Internal Candidates should be in good standing with no corrective action in place, attendance within acceptable guidelines and consistently meeting standards of our 5 Star Service model
Company Benefits Include:
This position spends the majority of time spent seated either on a computer or phone. We offer a highly competitive compensation and benefits package.
Currently hiring for: full-time with different shift times available from 7am to 7pm. Please send us your resume with a cover letter telling us why you’d be the perfect fit for this position. We look forward to hearing from you.