You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a Team Representative to join the Member Experience team. The primary role involves answering customer service inquiries and resolving issues related to benefits, eligibility, and claims. The position requires handling both phone and email/chat communications.

Key Responsibilities

• Participate in the Member Experience team to relieve administrative burdens for members.
• Answer basic customer service questions and provide information on benefits and eligibility.
• Handle calls and email/chat queries, dividing the day between these tasks.
• Interact with both members and providers, utilizing a CS program called Zendesk.
• Maintain metrics of calls per day and call times.
• Complete a two-week training program covering insurance basics, regulatory plans, and issue escalation processes.

Qualifications

• Approx. 3 years of insurance customer service experience.
• High-level understanding of claims and experience with EOB and eligibility.
• Excellent phone and written communication skills.

Experience

• Approximately 3 years of true insurance customer service experience, preferably with a healthcare TPA or health plan background.
• Strong understanding of eligibility, benefits explanation, and claims, with a comfort in explaining these to members.

Skills

• Proficiency with Zendesk.
• Strong communication skills, both verbal and written.
• Friendly, patient, and professional demeanor.

Additional Requirements

• Ability to work 40 hours per week with flexibility in schedule.
• Flexibility to work with time zones, as the team services clients across different coasts.
• Laptop provided by the company.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

Medix is an equal opportunity employer and considers all qualified applicants for employment without discrimination based on race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other status protected by law.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients