PERMA FAIR · 6 days ago
Member Experience Advocate
PERMA FAIR is focused on enhancing member satisfaction through exceptional service and support. The Member Experience Advocate will address member inquiries, resolve concerns, and foster positive relationships to promote loyalty and trust.
Insurance
Responsibilities
Serve as the primary point of contact for members, addressing inquiries via phone, email, chat, or other communication channels
Provide accurate information regarding products, services, policies, and procedures
Resolve member concerns promptly and professionally, escalating issues when necessary
Build and maintain positive relationships with members by understanding their needs and delivering personalized solutions
Actively listen to member feedback and identify opportunities to improve their experience
Investigate and resolve member complaints or issues, ensuring timely and satisfactory outcomes
Collaborate with internal teams to address complex problems and implement solutions
Identify trends in member inquiries and recommend process improvements to enhance efficiency and satisfaction
Contribute to the development of best practices and training materials for member support
Maintain accurate records of member interactions, inquiries, and resolutions using company systems
Adhere to company policies, procedures, and regulatory requirements
Ensure all communications align with organizational values and standards of professionalism
Qualification
Required
High school diploma or equivalent required; associate's degree preferred
2+ years of experience in customer service, member advocacy, or a related field
Minimum 2 years of healthcare experience
Minimum 2 years of experience working with third party administrator (TPA)
Minimum 2 years of experience working with Reference Based Pricing (RBP) methodology
Experience with triage- appropriate prioritization of requests based on both business and medical considerations
Ability to identify opportunities to streamline workflows and enhance the member experience
Knowledge of medical benefit plans
Ability to maintain a high level of integrity and confidentiality of medical information
Strong organizational skills
Strong time management skills
Authorized to work in the United States on a full-time basis without Company sponsorship
Exceptional verbal and written communication skills
Strong interpersonal skills with the ability to empathize and connect with members
Problem-solving and critical-thinking abilities
Proficiency in Microsoft 365 tools (e.g., Outlook, Teams, Excel) and CRM systems
Ability to multitask and prioritize in a fast-paced environment
Detail-oriented and organized
Positive attitude and a commitment to delivering excellent service
Adaptable and open to feedback for continuous improvement
Preferred
Associate's degree preferred
Benefits
Participation in family medical and dental insurance programs
401K plan
PTO
Company
PERMA FAIR
PERMA FAIR offers a healthcare and pharmacy plan that can improve the health of your business and the health of your employees, while saving you both money.
Funding
Current Stage
Growth StageCompany data provided by crunchbase