Member Services Specialist

LHH is teaming up with a healthcare organization in Sacramento, CA in search of a Member Services Representative II to support members, providers, brokers, and plan partners by delivering exceptional customer service and resolving benefit and coverage-related inquiries. This is an excellent opportunity to join a mission-driven healthcare organization dedicated to helping members navigate their healthcare benefits and access the care they need. The Member Services Representative II serves as a key resource for members, handling a variety of inquiries through multiple communication channels while ensuring a positive customer experience. This position also provides support to team members, assists with complex issue resolution, and contributes to ongoing service excellence initiatives. Candidates who enjoy helping others, solving problems, and working in a collaborative environment will thrive in this role. The ideal candidate is customer-focused, empathetic, and highly skilled at managing complex service inquiries. They are comfortable navigating healthcare benefits, researching issues, and collaborating with internal partners to achieve timely resolutions. Strong communication skills, professionalism, and the ability to remain calm during sensitive customer interactions are essential. Candidates who enjoy mentoring others and serving as a knowledgeable resource for their team will be particularly successful. Key Responsibilities Respond to member inquiries related to healthcare plans through phone, email, chat, fax, and in-person interactions. Research and resolve complex member issues requiring coordination across departments and external partners. Assist members, providers, brokers, and plan partners with benefit, eligibility, and claims-related questions. Support escalation management and urgent member concerns while ensuring appropriate referrals when necessary. Provide guidance and support to team members regarding plan policies, procedures, and system navigation. Assist with onboarding and training activities, including call shadowing and knowledge sharing. Educate members on available programs, online tools, and self-service resources. Document and route appeals, grievances, and other member concerns in accordance with established procedures. Collaborate with internal teams to ensure timely and accurate issue resolution. Monitor and communicate recurring member concerns, system issues, and service trends. Participate in team meetings, process improvements, and special projects as assigned. Qualifications High school diploma or equivalent required. Minimum of 2+ years of customer service experience required, preferably in healthcare, health insurance, call center, or member services environments. Experience handling complex customer inquiries and issue resolution required. Strong verbal and written communication skills required. Ability to manage sensitive customer situations with professionalism, empathy, and discretion. Proficiency with computer systems and the ability to learn new technology platforms quickly. Strong attention to detail and documentation skills required. Ability to work effectively in a team-based environment while managing multiple priorities. Experience supporting healthcare members, providers, or insurance plan participants preferred. Prior training, mentoring, or peer support experience is a plus. Job Type: Contract-to-Hire Start Date: ASAP Location: Fully Onsite in Sacramento, CA Hours: Monday through Friday, standard business hours Pay Rate: $22.00 - $25.00 per hour, depending on experience Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria. Equal Opportunity Employer/Veterans/Disabled To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to Candidate Privacy Information Statement The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: The California Fair Chance Act Los Angeles City Fair Chance Ordinance Los Angeles County Fair Chance Ordinance for Employers San Francisco Fair Chance Ordinance If you have the qualifications above and are interested in this opportunity – please apply today! If you are curious what else is available, please review the LHH website! #J-18808-Ljbffr LHH