Member Service Specialist

Job Description

Job Description

Job Title: Member Service Specialist

Industry: Insurance / Healthcare Services

Location (City, State): Tulsa, OK

Assignment Type: Full-Time, Direct Hire

Pay: $20-25/hr

Work Schedule: Monday–Friday, 10am-7pm

Benefits: This position is eligible for medical, dental, vision, and 401(k).

About The Company:

Our client is a well-established organization committed to delivering exceptional service and support to its members. They foster a collaborative, team-oriented environment that values innovation, professional growth, and outstanding customer experiences.

Job Description:

The Member Service Specialist serves as the primary point of contact for members and providers by handling inbound inquiries, managing follow-up activities, and providing administrative support. This role requires strong communication skills, attention to detail, and the ability to work across multiple systems while delivering timely, accurate service.

Key Responsibilities:

• Handle inbound calls while providing courteous and professional customer support.
• Resolve member and provider inquiries whenever possible during the first interaction.
• Explain available benefits, services, and account information accurately.
• Maintain thorough documentation of customer interactions within internal systems.
• Respond to emails received through shared and assigned inboxes.
• Perform research and complete follow-up activities to ensure requests are resolved promptly.
• Initiate outbound communications when additional information or follow-up is required.
• Update case statuses and maintain accurate workflow records.
• Manage assigned tasks independently while meeting service level expectations.
• Collaborate with internal departments to resolve complex issues.
• Assist with call coverage during periods of increased volume.
• Identify recurring service trends and recommend opportunities to improve processes.
• Utilize internal technology and AI-enabled tools to enhance efficiency and customer service.
• Complete additional duties and special projects as assigned.

Qualifications:

• High school diploma or equivalent required.
• Previous experience in customer service, call center, healthcare, insurance, or administrative support preferred.
• Experience using CRM, case management, ticketing, or similar software is a plus.
• Strong verbal and written communication skills.
• Excellent organizational, multitasking, and time management abilities.
• High level of accuracy with documentation and recordkeeping.
• Ability to work effectively in a collaborative team environment.
• Comfortable learning new technology and navigating multiple computer systems.
• Strong problem-solving skills and a customer-first mindset.

Additional Details:

This job description is intended to provide a general overview of the position and is not an exhaustive list of responsibilities or qualifications. Duties may evolve based on business needs.

Perks:

• Competitive compensation
• Comprehensive health benefits
• 401(k) retirement plan
• Paid time off and paid holidays
• Employee assistance program
• Wellness resources
• Career advancement opportunities
• Ongoing training and professional development
• Collaborative and supportive work environment

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.