Member Services Senior Processor
JobgetherRemotely
documentationservicenowhealthcareworkflow managementmicrosoft officecxoneintelligent document processing
Job Description
📋 Description
- Handle high-complexity applications, certifications, transfers, appeals, and supporting docs
- Lead processor for escalated cases; guide junior processing teams.
- Primary escalation point for complex cases needing minimal supervisor involvement.
- Assist supervisors with workflow coordination, priorities, and quality monitoring.
- Review others’ work for accuracy, completeness, and policy compliance.
- Provide feedback and coaching to improve processing quality and performance.
🎯 Requirements
- High school diploma or equivalent.
- 3–5 years in processing, admin support, operations, or high-volume service.
- Strong understanding of member processing workflows, eligibility, and regulatory considerations.
- Ability to analyze complex docs and process cases accurately and efficiently.
- Strong customer service, communication, problem-solving, and organization skills.
- Ability to handle sensitive information professionally with diverse stakeholders.
🎁 Benefits
- Estimated hourly compensation of $20.40–$27.60 depending on experience and location.
- Flexible work arrangements for work-life balance.
- 401(k) with employer matching.
- Comprehensive medical, dental, and vision coverage; multiple plan options.
- Health Savings Account options with eligible plans.
- Paid vacation, sick, personal time, and holidays.
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