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
• Manage sensitive or multi-layered issues with minimal oversight

Requirements

• Proven, hands-on experience navigating health plans and claims processes
• Direct interaction with providers or carriers
• Confidence in advocating on behalf of members in complex situations
• Comfortable managing issues requiring coordination across multiple parties
• Experience in health insurance, TPAs, provider offices, or benefits administration

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, or related field
• Minimum of 5 years of relevant experience in healthcare or benefits administration
• Strong problem-solving and communication skills
• Ability to work independently and manage multiple tasks simultaneously

Skills

• Healthcare knowledge
• Claims resolution
• Interpersonal skills
• Problem-solving
• Multi-tasking

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

Pay

• Competitive salary based on experience and qualifications

Schedule

• Full-time position

About Cottingham & Butler

We are a growth company committed to hiring, training, and growing the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of “better every day,” constantly pushing ourselves to be better than yesterday.

Contact

To learn more about Cottingham & Butler, visit our website at www.CottinghamButler.com. For career opportunities, follow us on LinkedIn and Facebook.