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 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

• Strong background in health insurance, claims resolution, or benefits administration
• Ability to independently assess issues and interpret plan details
• High degree of ownership and critical thinking skills

Skills

• Exceptional communication and interpersonal skills
• Strong problem-solving abilities
• Ability to work independently and manage multiple tasks simultaneously
• Knowledge of health insurance policies and procedures

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

Schedule

• Full-time position

About HealthCheck360

HealthCheck360 was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through our Health Coaching and Condition Management programs.