ZipRecruiter

Log In

1

Member Services Representative Two Jobs in Florida

AtWork!

MEMBER SERVICES REPRESENTATIVE

Tallahassee, FL · On-site

Member Services Representative We are seeking a Member Services Representative to join our team. This role is essential in delivering excellent customer service by assisting members with account ...

next page

Showing results 1-20

All JobsMember Services Representative Two JobsMember Services Representative Two Jobs in Florida

Member Services Representative Two information

What is the difference between Member Services Representative Two vs Member Services Representative One?

AspectMember Services Representative TwoMember Services Representative One
Required CredentialsHigh school diploma; some roles may prefer relevant certificationsHigh school diploma or equivalent
Work EnvironmentCustomer service in call centers, offices, or remote settingsCustomer service in similar environments, often entry-level
Employer & Industry UsageCommon in healthcare, insurance, and financial servicesSimilar industries, often as entry-level roles
Search & Comparison IntentLooking for roles with increased responsibilities or experienceEntry-level or initial member service roles

The Member Services Representative Two typically requires more experience or certifications than the Member Services Representative One. It involves handling more complex member inquiries and providing higher-level support within customer service environments in industries like healthcare and insurance. The role is suited for those seeking advancement from entry-level positions.

What are popular job titles related to Member Services Representative Two jobs in Florida? For Member Services Representative Two jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Member Services Representative Two jobs in Florida look for? The top searched job categories for Member Services Representative Two jobs in Florida are:
What cities in Florida are hiring for Member Services Representative Two jobs? Cities in Florida with the most Member Services Representative Two job openings:
Member Services Representative Two jobs near you

Member Services Representative

Capital Health Plan

Tallahassee, FL • On-site

Other

Medical

Re-posted 14 days ago

Job description

Member Services Representative

We are seeking a Member Services Representative to serve as a key point of contact for Capital Health Plan members and the community. This role is responsible for responding to high-volume inquiries, providing accurate information regarding health plan benefits and services, and assisting with issue resolution to ensure a positive member experience.

The Member Services Representative answers inbound calls, documents interactions in system databases, researches and resolves member concerns, and collaborates with internal teams to address inquiries related to eligibility, benefits, referrals, and services. This role plays a critical part in ensuring inquiries and complaints are handled accurately, professionally, and within established timeframes.

We're looking for someone who has:

  • Associate's degree from an accredited two-year college or technical school, or equivalent education and experience
  • Minimum of one year of related experience (call center, medical office, or customer service environment preferred)
  • Ability to communicate clearly and professionally with members, staff, and the public by phone and in written communication
  • Strong problem-solving skills with the ability to research and resolve member inquiries
  • Ability to manage a high volume of calls while maintaining accuracy and professionalism
  • Strong data entry and documentation skills, with the ability to track and follow up on member interactions
  • Ability to work within established policies, procedures, and service timelines

Highly preferred candidates also have:

  • Experience working in a call center or healthcare customer service environment
  • Knowledge of health plan benefits, eligibility, or referral processes
  • Experience handling and resolving member complaints or escalations
  • Familiarity with customer service systems or call tracking software
  • Strong interpersonal skills and the ability to de-escalate concerns in a professional manner

About Capital Health Plan (CHP):

CHP is a locally based, not-for-profit health maintenance organization serving the Tallahassee region for more than four decades. Founded by community leaders with a mission to deliver high-quality and patient-centered health care, CHP has grown into a nationally recognized healthcare organization while remaining deeply rooted in the communities it serves.

CHP is proud to be an Equal Opportunity Employer and is committed to maintaining a workplace that values professionalism, integrity, and respect. We provide equal employment opportunities to all employees and applicants and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status.

Capital Health Plan logo

About Capital Health Plan

Sourced by ZipRecruiter

In 1982, a group of Tallahassee’s civic leaders came together to create a quality, affordable health care system to meet the health needs of the community. Forty years later, Capital Health Plan has become a national health care leader. We started with 5,000 members and a network of 75 doctors. We’ve now grown to more than 135,000 members with a broad network of more doctors, hospitals and other health care providers throughout our service area. A key component of CHP’s delivery system is its employed medical staff, who practice in three state-of-the-art health centers CHP has developed to serve its membership. These health centers are equipped with electronic medical records and can accommodate a broad range of preventive, primary, and specialty care services including evening and weekend urgent care, lab, x-ray, digital mammography, ultrasound, colon screening, eye care services, wound care, and a center focused on the needs of chronically ill members. CHP’s ability to offer this highly organized component of its delivery system provides unique opportunities for adding value. The staff model of CHP’s delivery system is the engine of our program, consistently driving better results on measures of clinical care, member satisfaction, and affordability. As a not-for-profit HMO, we exist to improve the health of our communities by providing high quality, comprehensive health plans with low administrative costs, through primary care focused, patient-centered healthcare.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Tallahassee, FL, US

Year founded

1982

View All Capital Health Plan Jobs

Apply