Member Services Advocate

About the Role

Member Services Advocates play a critical role in delivering advanced advocacy services, serving as a trusted resource for members navigating complex healthcare and employer benefit situations. This role is intended for experienced professionals with a strong background in health insurance, claims resolution, or benefits administration who can independently assess issues, interpret plan details, and drive outcomes across multiple stakeholders.

Responsibilities

• Guide individuals through complex coverage scenarios
• Resolve escalated claims and billing issues
• Partner directly with providers, carriers, and third-party administrators to ensure accurate and timely resolution

Qualifications

• Proven, hands-on experience navigating health plans and claims processes, including direct interaction with providers or carriers
• Confident advocating on behalf of members in complex situations
• Comfortable managing issues that require coordination across multiple parties
• Experience in health insurance, TPAs, provider offices, or benefits administration
• High degree of ownership, critical thinking, and ability to manage sensitive or multi-layered issues with minimal oversight

Benefits

• Medical, Dental, Vision Insurance
• Flex Spending or HSA
• 401(k) with company match
• Profit-Sharing/Defined Contribution (1-year waiting period)
• PTO/Paid Holidays
• Company-paid ST and LT Disability
• Maternity Leave/Parental Leave
• Subsidized Parking
• Company-paid Term Life/Accidental Death Insurance