Member Support Specialist

Are you looking for a career, not just a job? At Custom Design Benefits, we are a team built with CARE Commitment, Accountability, Respect & Integrity, and Excellence.

We are a third-party administrator who manages healthcare benefits for our self-funded clients.

Tasks: Be a Customer Service Ambassador!During the course of answering incoming calls, educate members/providers on plan benefits and claim transactions accurately and professionally.Ensure dissatisfied caller issues are escalated and addressed within 2 hours of receipt.Document all calls in the claims call tracking system.Document member/provider records accurately with all pertinent information.Completes adjustment requests and submits to appropriate personnel for next steps.Utilizes multiple software and digital tools timely and effectively to retrieve member or provider information for calls, emails, or letters.Other duties as assigned.

Our Ideal Candidate: Excellent CommunicatorLearnerCritical ThinkerProblem SolverPositiveReliableSelf-StarterAchieverTeam Player