Common Ground Healthcare Cooperative

Member Services Representative - Brookfield

Brookfield, WI
We are the health insurance solution for thousands of small businesses, nonprofits, individuals and

Job Description

Member Services Representative

Posted: Wednesday, 3/20/2024

Position Summary

The Member Services Representative is primarily responsible for delivering effective customer service for all Common Ground Healthcare Cooperative (CGHC) members and stakeholders by utilizing excellent, in-depth knowledge of company products and procedures. This position will assist members and stakeholders in the areas of enrollment, premium payment, invoicing, benefits and claims. The Representative maintains customer satisfaction by using problem-solving skills and resolving issues for stakeholders.

Essential Duties, Responsibilities

  • Follows operating procedures and practices to ensure the highest level of patient/member safety and care.
  • Provides a high-level of quality service, consults and assists members and stakeholders in the areas of enrollment, premium payment, invoicing, benefits and claims; services via telephone, email and other
  • communication channels.
  • Problem solves independently to assist members and stakeholders with questions and/or concerns; escalates
  • calls and requests supervisory assistance as appropriate.
  • Documents all calls in accordance with operating procedures.
  • Performs in accordance of the Member Service's call volume goals and quality measurements.
  • Maintains company information and patient information in accordance with HIPAA requirements.
  • Performs other duties as assigned.
Requirements
  • High School graduation or equivalent required.
Benefits
  • 401(k)
  • Dental insurance
  • Employee discount
  • Flexible schedule
  • Health insurance
  • Paid time off
  • Vision insurance

Common Ground Healthcare Cooperative At A Glance

We are the health insurance solution for thousands of small businesses, nonprofits, individuals and families throughout eastern Wisconsin. We are a nonprofit cooperative dedicated to delivering quality, comprehensive health insurance.
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