The Member Contact Center Representative provides exceptional service to members via phone, focusing on effective communication, troubleshooting, and deepening member relationships while adhering to established policies. This role involves meeting or exceeding performance metrics, quality scores, and member satisfaction scores by demonstrating expertise in all products and services.

The representative will handle daily inbound and outbound calls from members, providers, and health plans, focusing on tasks like verifying authorization, claims, and eligibility, and documenting all interactions accurately. Key duties also involve assisting with member appointments, resolving walk-in concerns, managing specialist termination notifications, and arranging transportation for certain members.

The specialist will collaborate with clients to develop personalized travel itineraries based on their preferences and budget, which involves researching and comparing travel options like flights, accommodations, and activities. This role also requires coordinating all necessary reservations and ensuring the final itinerary is accurate and well-arranged.

The manager will be responsible for designing and organizing customized travel itineraries based on client preferences, researching travel options like flights and hotels, and confirming reservations using approved platforms. They must also provide reliable travel information and professionally communicate with clients via various channels.