Member Services Advocate

Responsibilities

• Deliver advanced advocacy services to members navigating complex healthcare and employer benefit situations
• Guide individuals through complex coverage scenarios
• Resolve escalated claims and billing issues
• Partner directly with providers, carriers, and third-party administrators to ensure accurate and timely resolution
• Independently assess issues and interpret plan details to drive outcomes

Requirements

• Proven experience navigating health plans and claims processes
• Experience in health insurance, TPAs, provider offices, or benefits administration
• Experience with direct interaction with providers or carriers
• Ability to manage sensitive or multi-layered issues with minimal oversight

Benefits

• Medical, Dental, and Vision Insurance
• Flex Spending or HSA
• 401(k) with company match
• Profit-Sharing/Defined Contribution (1-year waiting period)
• PTO and Paid Holidays
• Company-paid ST and LT Disability
• Maternity and Parental Leave
• Subsidized Parking
• Company-paid Term Life/Accidental Death Insurance

About the Company

HealthCheck360 focuses on reducing medical costs while increasing employee engagement and productivity through biometric screenings, technology, and health coaching programs.