Member Services Senior Processor

About the role

The position involves processing complex member applications, certifications, transfers, appeals, and detailed documentation for a federally administered healthcare program serving individuals affected by the September 11 attacks. It includes acting as a lead processor and escalation point for cases requiring deeper analysis and judgment, coordinating workflows, monitoring quality, mentoring colleagues, and strengthening processing consistency.

Requirements

• Education: High school diploma or equivalent required.
• Experience: 3–5 years of experience in processing, administrative support, operations, customer service, or another high-volume service environment.
• Processing expertise: Strong understanding of documentation review, eligibility requirements, member processing workflows, and regulatory considerations.
• Communication: Excellent written and verbal communication skills, with the ability to handle sensitive or complex matters professionally.
• Problem-solving: Strong analytical and problem-solving abilities, with sound judgment when reviewing documentation and resolving escalated cases.
• Leadership: Ability to provide guidance and mentoring to colleagues and take on limited workflow oversight responsibilities while supporting supervisors.
• Organization: Strong attention to detail and the ability to manage multiple cases, priorities, and deadlines in a high-volume operational environment.
• Technology: Comfortable working with Microsoft applications and operational systems used for member service, documentation, and case processing.

Benefits

• Compensation: Expected hourly rate of $20.40–$27.60, with actual compensation determined based on experience, geographic location, and applicable contractual requirements.
• Remote work: Fully remote position with a full-flex work week designed to support work-life balance.
• Retirement: 401(k) plan with company matching, with pre-tax and post-tax contribution options.
• Healthcare: Comprehensive medical plan options, including options with Health Savings Accounts, plus dental and vision coverage.
• Paid time off: Vacation, sick, personal, and holiday leave, with new employees typically receiving 15 days of paid leave per calendar year plus 10 paid holidays, subject to eligibility and prorating.
• Family leave: Paid parental and family leave, including up to 160 hours through the paid family leave program for eligible employees.
• Insurance protection: Short- and long-term disability, life insurance, accidental death and dismemberment, personal accident, critical illness, and business travel and accident coverage.
• Professional development: Paid education and certification opportunities, along with ongoing professional growth programs.
• Career mobility: Access to an internal mobility team dedicated to helping employees develop and advance their careers.
• Technology exposure: Opportunities to work with modern technologies and develop skills in areas including AI, cloud, cybersecurity, and software solutions.