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Member Services

Burnett Specialists San Antonio, TX Full-Time
$15.00/ hour
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Our client managed health-care company that provides health care for many Texans and serves members in all 254 counties across the state. As a Customer Service Representative I, you will be empowered in educating our Members by answering questions and solving member inquiries via telephone and written correspondence.

• Document all activities for reporting and resolution through the customer relationship management application (CRM) • Answer inquiries from members regarding eligibility, product/covered benefits, value added services, authorization status issues, etc. • Provide first call resolution through issue documentation and resolution with appropriate internal resource, follow-up and ensure closure with the contact who initiated the inquiry • Respond appropriately to member issues and concerns, and provide trending feedback to improve the customer experience • Intake Member Complaints/Grievances/Appeals • Process customer correspondence and provide the appropriate level of timely follow up • Manage service related follow up items and outstanding tasks in accordance with established turn around times • Provide assistance to members regarding Secured Web Portal regarding website registration, navigation and customer related inquires • Maintain performance and quality standards based on established call experience guidelines • Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service , quality improvement and call reduction
• High School Diploma or GED; • Proficiency in MS Office • Strong attention to detail • Excellent written and verbal communication skills

Recommended skills

Process Improvements (Business)
Customer Relationship Management
Customer Service
Verbal Communication


Salary Details

This salary was provided in the Job Posting.
Hourly Salary

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Member Services
$15.00/ hour
Estimated Salary: $70K
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