Membership Experience Representative (CSR) – Health Insurance

Position Title: Membership Experience Representative (Customer Service) Employment Type: Full-Time / Part-Time (Remote) Department: Member Services Reports To: Member Services Supervisor

Role Overview

The Membership Experience Representative serves as the primary point of contact for health insurance members, delivering exceptional service and support. This role focuses on resolving inquiries related to benefits, claims, billing, and general account concerns while ensuring a positive member experience.

Key Responsibilities

• Handle inbound calls, emails, and chats from members
• Assist with benefits explanations, claims status, billing inquiries, and provider searches
• Resolve member issues efficiently and professionally
• Accurately document interactions in CRM or member management systems