Membership specialist

Job Description - PAR - Membership Services Specialist I (2400581)

Job Description

PAR - Membership Services Specialist I-(2400581)

Description

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.

6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.

Medical Mutual’ s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors.

Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us and help our members achieve their best possible health and quality of life.

Responds to and resolves a variety of customer inquiries regarding the Company's health insurance products and services.

Balances workload and achieves maximum efficiency to ensure timely, complete and accurate resolution is provided to customers on first contact.

Navigates systems and confidently provides outstanding customer service in accordance with established quality expectations and service philosophy.

Works to build customer loyalty by ensuring customer needs are met.

Responsibilities

Responds to a variety of member inquiries from commercial and Medicare Advantage product lines through determined channels such as telephone, written, email, chat and face-to-face.

Communicates information / solutions clearly, accurately, and effectively in a manner that provides peace of mind to the customer.

For MA, identifies and documents complaints and appeals in accordance with Center for Medicare / Medicaid Services (CMS) regulations.

Conducts research and takes appropriate action on customer inquiries specific to determined channel(s).Recognizes and takes action to address issues that may impact other customers.

Strives for resolution on first contact).

• Builds and maintains commercial and Medicare Advantage knowledge and skills.Participates in refresher or other training as needed.
• Performs other duties as assigned.

Qualifications

Qualifications

Education and Experience :

• Bachelors' Degree in Business Administration, Communications or related field is preferred, but will consider collective experience, training and education.
• Successful completion of internal commercial and Medicare Advantage training program which consists of classroom and on the job training.
• Demonstrated ability to meet the performance metrics of a PAR-Membership Services Specialist.

Technical Skills and Knowledge :

• Basic PC navigation and MS Office skills.
• Knowledge of the Company's product offerings, systems and operational policies and procedures.

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees.

That's why we offer an exceptional package that includes :

A Great Place to Work :

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available.

Enjoy the use of weights, cardio machines, locker rooms, classes and more.

• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits and Compensation :

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work / life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You :

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual :

Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors.

There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans.

We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.

Our plans provide peace of mind to more than 1.2 million Ohioans.

We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.

At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community.

We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

Primary Location

US-OH-Toledo

7 - General Staff

Organization

Paramount

Schedule

Regular

Shift

Standard

Employee Status

Individual Contributor

Job Type

Full-time

Job Level

Day Job

Job Posting

Nov 22, 2024, 6 : 42 : 03 PM

Last updated : 2024-11-24

Salary : $5,250