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Member Service Representative

Miramar, FL

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RemX is currently assisting our client in filling immediate openings for an On-site Customer Service Advocate role in Miramar, FL. 

Job Components?and?Primary Responsibilities: 

  • Provide concierge and white-glove level service, removing burdens and providing end-to-end resolution for customers 

  • Serve as a single point of contact for the customer and form a strong relationship to support them 

  • Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member 

  • Research complex issues across multiple databases and work with support resources to own the resolution of all customer issues and anticipate their future healthcare needs or potential opportunities to improve the experience 

  • Respond to and own consumer inquiries and issues 

  • Conduct proactive research on assigned member accounts to identify service issues 

  • Provide education and status on previously submitted pre-authorizations or pre-determination requests 

  • Meet the performance goals established for the position in the areas of efficiency, call quality, customer satisfaction, first call resolution and attendance 

 Open availability is required



Job Requirements


Required Qualifications: 

  • High School Diploma / GED (or higher) 

  • 1 years of high volume contact center experience
  • Health Care/Insurance experience (familiarity with medical terminology, health plan documents, or benefit plan design) 
  • Minimum of 3+ years of combined education, work and/or volunteer experience 

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