We are looking for a customer-focused Health Plan Specialist to support members through high-volume inbound service specifically related to Medicare. This is a contract position offering the opportunity to assist members with benefit, billing, and enrollment questions while delivering accurate and compassionate support. The ideal candidate is comfortable navigating multiple systems, handling complex inquiries, and maintaining an organized remote work environment. Success in this role requires strong communication, sound judgment, and a commitment to creating a positive member experience.

Responsibilities:

• Handle a large volume of inbound member calls each day, especially during open enrollment periods, while maintaining a calm and attentive approach.
• Guide members through questions related to Medicare benefits, billing matters, eligibility, and enrollment with clear and accurate explanations.
• Take full ownership of each inquiry from initial contact through final resolution, ensuring issues are documented thoroughly and completed on time.
• Use digital tools and multiple on-screen applications efficiently to research information, verify details, and provide accurate responses.
• Follow up on unresolved concerns as needed to ensure members receive complete and timely updates.
• Maintain detailed records of member interactions and actions taken to support service quality and compliance expectations.
• Participate fully in virtual training, team meetings, and coaching sessions, including live video attendance and active engagement.
• Work within assigned weekday shifts and contribute to a collaborative team environment focused on service excellence and member satisfaction.