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)
General Responsibilities:
Members of the outside service team must be dedicated to providing superior customer service, exceeding all expectations for both members and guests. Team members must be detail oriented and prioritize tasks effectively. They must be dependable and be prepared to work weekdays, weekends and summer holidays. Individuals must be self-motivated and able to work in a fast paced environment. Specific duties include, but are not limited to the following:
Specific Responsibilities:
Work Experience:
Compensation:
Environment/Noise:
Occasionally works in outdoor weather conditions. Noise level is moderate.
Full Time employees receive benefits:
Company benefits offered including medical, dental, vision, life insurance and 401k
Job Knowledge, Skill, and Ability Preferences:
This job description is not an exclusive or exhaustive list of all job functions that an associate in this position may be asked to perform from time to time.