Member Support Specialist

Are you looking for a career, not just a job?

At Custom Design Benefits, we are a team built with CARE – Commitment, Accountability, Respect & Integrity, and Excellence. We are a third-party administrator who manages healthcare benefits for our self-funded clients.

Tasks:

• Be a Customer Service Ambassador!
• During the course of answering incoming calls, educate members/providers on plan benefits and claim transactions accurately and professionally.
• Ensure dissatisfied caller issues are escalated and addressed within 2 hours of receipt.
• Document all calls in the claims call tracking system.
• Document member/provider records accurately with all pertinent information.
• Completes adjustment requests and submits to appropriate personnel for next steps.
• Utilizes multiple software and digital tools timely and effectively to retrieve member or provider information for calls, emails, or letters.
• Other duties as assigned.

Our Ideal Candidate:

• Excellent Communicator
• Learner
• Critical Thinker
• Problem Solver
• Positive
• Reliable
• Self-Starter
• Achiever
• Team Player