Skip navigation
Unable to save this job. Please try again later.

{msg}

Email this Job to Yourself or a Friend

To begin the application process, please enter your email address.

Company Contact Info

  • 101 Southhall Lane
    Suite 400
    Maitland, FL 32751

Already have an account?

Sign in to apply with your saved resumes.

New to CareerBuilder?

Don't have an account? Continue as a guest!

Sorry, we cannot save or unsave this job right now.

Report this Job

Trust and Site Security Team.

Don't miss out on new jobs!

Get the latest Member Solutions Representative jobs in Maitland, FL delivered directly to your inbox. You can unsubscribe at any time.

Saving Your Job Alert

Job Alert Saved!

Could not save Job Alert!

You have too many Job Alerts!

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.

Sign Up

or   Sign In Here
Password Must Contain
• 
8 to 15 characters
• 
1 uppercase letter
• 
1 number or symbol
• 
1 lowercase letter
Cancel
Create an Account with CareerBuilder to save jobs & unlock these great features
See similar job titles and skills to help you make your next move
Upload a resume and become visible to Hiring Managers and Employers
Compare Salary Information to see where you stand amongst your peers
Easily Quick Apply to jobs with just one click!

Email Send Failed!

Member Solutions Representative

Alegeus • Maitland, FL

Posted 2 months ago

Job Snapshot

Full-Time
Travel - None
Experience - 2 years
Degree - High School
Healthcare - Health Services
Customer Service

Job Description

Member Solutions Representative

SUMMARY:

Alegeus is the market leader in consumer directed healthcare solutions, offering the industry’s most comprehensive platform for the administration of healthcare benefit accounts, the industry’s most widely-used benefit debit card, and powerful engagement solutions to help consumers maximize savings and optimize spending for their healthcare.  Over 300 clients – including health insurance plans, third party administrators and financial institutions – leverage Alegeus’ deep expertise and proven technology to administer benefit accounts for more than 29 million members and process more than $8.9 billion in consumer healthcare payments annually. As the healthcare and benefit markets continue to evolve, Alegeus delivers solutions that enable clients to evolve their service offerings, operate their businesses more efficiently, and focus on their customers. 

Alegeus is part of the Vista Equity Partners portfolio of companies, working in partnership with the market-leading technology investment firm to reinvent the consumer directed healthcare marketplace. Our talented associates benefit from this partnership through increased capital for strategic investments, access to exceptional toolkits, best practices and resources for success, and strong cultural and value alignment focused on talent development and growth.

POSITION SUMMARY:

At Alegeus, we believe that when our clients succeed, we succeed. For that reason, our Member Solutions Representatives receive the necessary training and support to provide consistent and reliable white-glove service and interactions with each and every customer interaction. They are truly our front-line.

MAJOR RESPONSIBILITIES:

 Obtains caller information by answering telephone calls; authenticating account holders; verifying information

 Researches account and transaction records to resolve caller questions

 Demonstrates the ability to independently handle challenging customer interactions with tact, professionalism and minimal supervisory support

 Adheres to regulatory oversight policies and procedures with regard to caller interactions (providing correct and appropriate information, entering detailed notes on caller’s record regarding the nature of the call, maintaining and respecting caller privacy)

 Informs account holders about procedures related to use of services

 Maintains and improves quality results by adhering to standards and guidelines as well as recommending improved procedures

 Updates job knowledge by studying new product changes and system functionality; participating in educational opportunities

 Apply general processing procedures, and specific guidelines to correctly process claims.

 Review and interpret pending claims to determine the appropriateness of the claim status to take necessary actions within policy provisions.

 Examine information including authorizations, payments, denials, and resolve outstanding issues to meet client expectations.

 Explain rationale on claim adjustments, such as payments and denial decisions.

 Shift hours vary based on client accounts. Must be flexible to work any shift in the range of hours 8:00am-8:00pm Monday through Friday

 

Job Requirements

EDUCATION/EXPERIENCE:

 Bachelor's degree or equivalent education and/or work experience preferred

 2+years Customer Service Call Center experience

  Shift hours vary based on client accounts. Must be flexible to work any shift in the range of hours 8:00am-8:00pm Monday through Friday

SKILLS/KNOWLEDGE:

 Strong organizational, analytical skills, and strong attention to detail.

 Previous experience in customer service or claims processing in the Consumer Directed Health market a plus, with 1-2 years of broad and deep knowledge of HSA, FSA, HRA, DCA, and other Transit products.

 Excellent troubleshooting, decision making, and problem-solving skills.

 Solid interpersonal, verbal, and written communication skills.

 Ability to work well independently, and as a team member.

 Proven ability to multitask, adjust priorities, meet deadlines, and successfully operate in a fast-paced environment.

 Ability to follow through on and successfully execute tasks while adhering to specific quality standards.

Help us improve CareerBuilder by providing feedback about this job: Report this Job.
CAREERBUILDER TIP
For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.
By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.
Don't miss out on new jobs like this
Get the latest jobs delivered to your inbox. Unsubscribe at any time.

Saving Your Job Alert

Job Alert Created

Well, this is embarrassing. We are having trouble saving your search. You can try again or come back at a later time.

Maximum Email Alerts

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.