Senior Member Services Specialist
Posted today
virtual vocationsDenver (CO)
Customer Service RepresentativesPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
SENIORITY
Senior
About the role
Owning complex and sensitive member cases from first contact to resolution, the full-time Senior Member Services Specialist will manage appeals, denied claims, and urgent care needs while providing general support to members in a remote setting.
Key responsibilities
Manage complex member cases, including appeals and denied claims, ensuring timely resolution
Provide support for general inquiries, appointment changes, and enrollment questions
Investigate issues thoroughly before responding, keeping members informed throughout the resolution process
Required qualifications
Experience with claims, appeals, reimbursement, or payments
Familiarity with fertility benefits, specialty healthcare, or financial operations
Proficiency in using Zendesk, Jira, and Slack
Ability to work assigned shifts, including evenings, weekends, and holidays
Active work authorization in the US
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.
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