What are the responsibilities and job description for the Member Services Specialist position at Georgia Department of Community Health?
The Member Services Specialist will act as a liaison between employer/member service, vendors and third-party administrator. Provide accurate, valid and complete information by using the right methods/tools. Answer questions, and resolve any customer complaints, provide appropriate solutions and alternatives within the time limit, follow up to ensure resolution. Also manage a large volume of escalated issues.
Job Responsibilities
- Performs research to provide information or respond to customer/visitor requests and/or inquiries.
- Resolves complicated customer service issues (i.e., specific escalated complaints, constituent services issues, etc.), or direct customer to appropriate agency.
- Advises members and/or officials regarding regulations, policies and procedures.
- Responds to escalated customer inquiries from SHBP Eligibility vendor’s Service Requests.
- Performs job responsibilities with minimal supervision.
- Serves as job expert or organization resource in assigned areas.
- Provide accurate, valid and complete information by using the right methods/tools
- Assessing member eligibility and identifying their needs
- Documenting all inquiries and maintaining accurate member records.
- Working with other departments to find appropriate solution
Technical Competencies
- Ability to listen, understand, and communicate with others in conveying information.
- Ability to interpret rules and regulations.
- Ability to research issues and determine resolutions.
- Skill in identifying problems and resolutions
- Ability to effectively interact with and serve members.
Minimum Qualifications
High school diploma/GED and three (3) years of experience in a customer service setting communicating information; or two (2) years of experience required at the lower-level Customer Svc Rep 2 (GST121).
Preferred Qualifications:
Bachelor's degree from an accredited college or university OR Three years of experience in a customer service setting, communicating information, extensive research OR Two years of experience required at the lower-level Customer Svc Rep 2 (GST121) or position equivalent.
Salary : $34,249 - $46,246
