Member Service Representative I

Join Martins Point Health Care - an innovative not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force ofpeople caring for people Martins Point employees are on amission to transform our health care system while creating a healthier community. Martins Point employees enjoy an organizational culture of trust and respect where our values - taking care of ourselves and others continuous learning helping each other and having fun - are brought to life every day. Join us and find out for yourself why Martins Point has been certified as a Great Place to Work since 2015.

Position Summary

The Member Service Representative I will interact and support our Health Plan members to ensure customer satisfaction member loyalty and retention while maintaining high quality delivering accurate and timely information and meeting compliance requirements.

Job Description

Key Outcomes :

• Delivers world-class customer service by upholding the Martins Point Culture Statement of People Caring for People modeling the Martins Point Values and building key relationships with members contracted brokers other teams and departments to help promote the success of Martins Point.
• Services all current member needs for their designated line of business via telephone in writing and in-person in accordance with departmental service standards and all regulatory requirements.
• Works with the Member Service Representative II for support when needed as well as coordinates the resolution of inquiries with other departments at Martins Point.
• Provides benefit claims and coverage information to members in accordance with department policies and procedures and compliance requirements.
• Performs administrative activities in relation to Member Services.
• Maintains accurate information and documentation in all systems and databases.
• Participates in Member Service process improvement events and other projects as assigned.

Education / Experience :

Required License(s) and / or Certification(s) :

Skills / Knowledge / Competencies (Behaviors) :

There are additional competencies linked to individual contributor provider and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to your position.

This position is not eligible for immigration sponsorship.

We are an equal opportunity / affirmative action employer.

Do you have a question about careers at Martins Point Health Care Contact us at :

Required Experience :

Unclear Seniority

Key Skills

Bidding,Apprentice,Bricklayer,Airport,Jni,Airlines

Employment Type : Full-Time

Experience : years

Vacancy : 1