Member Services Advocate

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $16 - $22 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Logo of Gravie

Gravie

201 - 500 employees

Founded 2013

🏥 Healthcare

🛡️ Insurance

🤝 B2B

💰 $150M Private Equity Round - Gravie on 2025-05

Healthcare • Insurance • B2B

Gravie is a benefits and health insurance solutions company that helps small and midsize employers, brokers, and employees access and administer more flexible, affordable health benefits. Its flagship offerings include Comfort (a level-funded health plan), Gravie ICHRA (Individual Coverage Health Reimbursement Arrangement administration), Gravie Pay (support for healthcare costs), and Gravie Care; the company focuses on enabling SMBs to offer individualized, lower-cost coverage and simplifying benefits administration.

📋 Description

• Serve as a first point of contact for members and providers • Deliver service via inbound calls and emails • Help individuals navigate health insurance plans and understand benefits • Resolve claims issues and inquiries related to eligibility, billing, provider networks, and prescription coverage • Ask questions to understand issues and identify solutions or next steps • Explain claims, benefits, eligibility, billing, provider networks, and prescription coverage using internal systems • Listen actively and demonstrate compassion • Record interactions clearly and thoroughly in the CRM system • Partner with internal departments, third-party vendors, and brokers/navigators to provide resolution and support • Maintain a structured and reliable schedule; extended hours during January–March peak season may be required • Uphold the Gravie CARE service model • Ensure compliance with privacy, confidentiality, security, HIPAA, and other regulatory standards • Meet or exceed performance expectations for call quality, adherence, RSAT, After Call Work, and Call Answered%

🎯 Requirements

• 1–2 years of experience in customer service or a call center environment • Passion for helping people and track record resolving complex customer concerns using active listening, creative problem-solving, and empathy • Strong written and verbal communication skills • High reliability and commitment to adhering to a structured work schedule • Excellent attention to detail and organizational skills • Experience entering and updating information in electronic systems or databases • Proficiency navigating computers and multitasking across multiple platforms and systems • Solid typing skills • Ability to learn quickly and follow established processes accurately and efficiently • Results-driven mindset and comfort working in a fast-paced, evolving environment • Previous experience in health insurance, healthcare, or related fields is extra credit • Familiarity with Microsoft Office and Google Suite is extra credit • Active Health Insurance Producer License or willingness to obtain licensure if required is extra credit • Experience with Medicare, Medicaid, or Marketplace plans is a plus • Access to a quiet, professional workspace and reliable high-speed internet meeting organizational minimum requirements • Must be currently authorized to work in the United States • Must not require employer visa sponsorship now or in the future

🏖️ Benefits

• Alternative medicine coverage • Flexible PTO • Up to 16 weeks paid parental leave • Paid holidays • 401(k) program • Transportation perks • Education reimbursement • 2 days of paid paw-ternity leave • Standard health and wellness benefits

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