The Customer Experience Representative acts as a trusted advocate for members and providers by resolving complex benefit inquiries and claims issues. They are responsible for delivering professional, compassionate support while maintaining accurate documentation and adhering to privacy standards.
Support members, providers, and clients with benefit, claims, eligibility, and payment inquiries by researching issues, providing accurate information, and resolving concerns whenever possible. Document interactions, protect confidential information, and collaborate with teammates while delivering empathetic, professional service.