Health Plan Member Services Support Team Leader

Health Plan Member Services Support Team Leader Jobs

What does a Health Plan Member Services Support Team Leader Do?

The Health Plan Member Services Support Team Leader is responsible for researching more complex questions, investigating the cause of the issue, and responding to members on escalated issues. Supervises a group of member services representatives that address health plan or HMO member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Being a Health Plan Member Services Support Team Leader requires a high school diploma or its equivalent. Assists with hiring, training, ongoing monitoring and QA, per ... formance evaluations and any corrective actions of member services representatives. In addition, Health Plan Member Services Support Team Leader typically reports to a manager. The Health Plan Member Services Support Team Leader supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Thorough knowledge of functional area under supervision. Working as a Health Plan Member Services Support Team Leader typically requires 3 years experience in the related area as an individual contributor. More
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