Operations Support Specialist

Healthcare Service & Operations Specialist

Should have good knowledge in customer support and claims

We are looking for someone who:

Knows the healthcare business and can navigate complex situations with confidence

Can act as a bridge between our members and their healthcare benefits

Goes beyond customer service to bring real industry knowledge to the role

Responsibilities:

Handle benefit coverage questions, claims, and authorizations

Manage member relationships to support retention

Clearly explain insurance concepts to members and providers

Requirements:

Solid understanding of how claims, liabilities, and insurance coverage work

Calm under pressure, thoughtful rather than reactive

Strong communication skills, both on the phone and in writing

Basic comfort with business systems and databases