Top 857 Member services representative Jobs in Ada, Mi

Member Services Representative- Remote
ASR CORPORATION —Grand Rapids, MI
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Health insurance
- Dental insurance
Patient Services Representative Associate
Corewell Health —Caledonia, MI
- Part-time
- Office
- High school diploma or GED
- 1 year
7d
Guest Services Representative The Gerald Grand Rapids, MI
The Gerald Hotel Grand Rapids, MI —Grand Rapids, MI
- $18 - $19 an hour
- Part-time
- Inventory control
- Sales
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
Retail Guest Services Team Member - Lowell
Tommy's Express Operations —Lowell, MI
- Full-time
- Customer service
- Maintenance
- Ability to climb stairs
- Paid holidays
- Dental insurance
Quick Apply
Education Coordinator
Life EMS Ambulance —Grand Rapids, MI
- Full-time
- 18 years or older
- Clean driving record
- Customer service
- Disability insurance
- Health insurance
Tax Manager - Individuals & Trusts
RDV Corporation —Grand Rapids, MI
- 7 years
- Research
- Office
- Paid holidays
- Health insurance
Director of Environmental Programs
Grand Valley Metropolitan Council —Grand Rapids, MI
- $90,000 - $110,000 a year
- Full-time
- Office
- 3 years
- Master's degree
- Health insurance
- Dental insurance
Quick Apply
8d
Retail Shift Leader - Lowell
Tommy's Express Operations —Lowell, MI
- Full-time
- Mid-level
- Ability to climb stairs
- High school diploma or GED
- Paid holidays
- Dental insurance
Quick Apply
School Bus Driver
Forest Hills Public Schools —Grand Rapids, MI
- From $23.18 an hour
- Part-time
- School experience
- Clean driving record
- Mid-level
- Health insurance
- Vision insurance
Quick Apply
Non-CDL Bus Driver
Transdev —Grandville, MI
- From $17.85 an hour
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Health insurance
- Dental insurance
19h
Assistant Home Supervisor
MOKA —Allendale, MI
- From $18.33 an hour
- Full-time
- 18 years or older
- Management
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Assistant Home Supervisor
MOKA —Grand Rapids, MI
- From $18.33 an hour
- Full-time
- 18 years or older
- Management
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
8d
Academic Interventionist (Certified in Math, Reading, or English as a Second Language)
Integrity Educational Services —Grand Rapids, MI
- $44,000 - $65,000 a year
- Full-time
- Background check
- School experience
- Classroom
- Health savings account
- Health insurance
Quick Apply
5d
Algoma Township Trustee
Algoma Township —Rockford, MI
- $7,270 a year
- Part-time
- 18 years or older
- Writing skills
- Office
Quick Apply
7d
Wealth Management Trainee (MI)
Bankers Life —Grand Rapids, MI
- $50,000 - $80,000 a year
- Full-time
- Customer service
- No experience needed
- Entry level
Quick Apply
Student Achievement Navigator- Jackson County Early College
Jackson College —Michigan
- $21.50 - $24.00 an hour
- Overtime
- High school
- Bachelor of Science
- Mid-level
- AD&D insurance
- Paid holidays
12d
Regional Sales Manager
Smithfield Foods —Byron Center, MI
- Full-time
- Up to 50% travel
- Mid-level
- Travel
- Relocation assistance
Accelerated Path to Management Program
New York Life —Grand Rapids, MI
- $60,000 - $150,000 a year
- Full-time
- Management
- Mid-level
- Master's degree
- AD&D insurance
- Disability insurance
Quick Apply
Financial Professional - Entry Level
New York Life —Grand Rapids, MI
- $55,000 - $120,000 a year
- Full-time
- Hybrid work
- Background check
- Customer service
- US work authorization
- Disability insurance
- Health insurance
Quick Apply
In-Home Sales Representative
Renuity —Grand Rapids, MI
- $200,000 - $300,000 a year
- Full-time
- Customer service
- Mid-level
- Paid time off
- 401(k) matching
Quick Apply

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member services representative jobs near ada, mi

Member Services Representative- Remote

ASR CORPORATION -
Grand Rapids, MI

Apply Now

Job Details

Benefits

Health insurance
Dental insurance
Work from home
Vision insurance

Qualifications

High school diploma or GED

Full Job Description

Job Title: Member Services Representative- Health Benefits TPA

Department: Call Center / Claims

Work Environment: Remote

Company Overview

ASR Health Benefits is a third-party administrator (TPA) based in Grand Rapids, Michigan, with over 40 years of experience helping organizations manage health and benefits programs. Unlike an insurance carrier, the organization partners directly with employers to design flexible, customized benefits solutions. Backed by Henry Ford Health, one of the nation's leading health systems, ASR offers access to an extensive network of resources and high-quality care. Services span self-funded medical plans, dental, vision, wellness, and a range of health benefits solutions designed to support diverse workforces. The company is focused on making benefits administration simpler, more effective, and more responsive to client needs.

Position Summary:

The Member Services Representative (MSR) is responsible for providing specialized call management, advocacy, and education to members, ensuring excellent customer service in alignment with company mission and values.

The MSR serves as the point person for member inquiries, issues, and concerns, guiding them through their claims and assisting with timely resolutions. This role requires strong communication skills, critical thinking, and the ability to work collaboratively within the claims unit to foster positive member experiences.

Key Responsibilities:

Case Management & Advocacy: Manage assigned member caseload using a high-touch advocacy model to enhance the member experience and encourage engagement.

Customer Service: Providing quality customer service while assisting members on the phone with benefit questions and claim status.

Claims Assistance: Apply independent judgment and problem-solving skills to assist members with their claim inquiries, ensuring positive outcomes.

Issue Resolution: Act as the primary point of contact for escalated member issues, ensuring timely resolution through coordination with internal and external parties.

Cross-functional Coordination: Facilitate communication among members, internal staff, and providers as needed, escalating issues to supervisors or legal when necessary.

Documentation & Tracking: Maintain accurate and detailed records of member inquiries and resolutions using WebCSR software. Document all stages of the process and ensure timely follow-ups.

Collaboration: Work closely with internal departments to address service issues and identify opportunities for process and systemic improvements.

Claims Processing: Assist in claims processing as needed, including validating medical, dental, vision, flex, and HRA claims. Apply knowledge of HIPAA regulations when handling sensitive information.

Problem Solving & Compliance: Identify and resolve claim issues, including duplicate claims, late charges, and incorrect billing, while adhering to HIPAA guidelines.

Data Entry & Proofreading: Ensure all claims information is complete and accurate; proofread manually entered claims.

Goal Achievement: Meet daily production and performance goals while maintaining a high level of accuracy and quality in all tasks.

Other duties as assigned.

Preferred Skills and Qualifications

Skills
- Strong verbal and written communication skills.
- Proficiency in Microsoft Outlook, Word, Excel, and internet navigation.
- Ability to multi-task in a fast-paced, deadline-driven environment.
- Experience in billing, insurance, healthcare, or legal environments is a plus.
- Familiarity with UB-04 and CMS-1500 billing forms is a plus.

Knowledge
- Strong understanding of HIPAA regulations.
- Knowledge of claims processing and healthcare claims systems.

Attributes
- Ability to work independently with limited supervision.
- Strong problem-solving skills and critical thinking.
- High attention to detail and ability to manage competing priorities.
- Demonstrated success in client-focused solutions.

- Agreement that your likeness (e.g., name, image, voice, and/or video) may be used in internal and external materials with customers or prospective customers.

Preferred Education and Experience:

High School Diploma or GED required; Bachelor’s degree preferred.
Minimum of two years in a claims processing, data entry, or customer service role within a TPA, insurance company, or healthcare environment.

Work Environment:

This position follows a remote work structure, allowing employees to work from home, based on specific tasks or personal work preferences. There may be times when working in the office will be required.

Essential Functions:

This role may require extended sitting, regular computer and office equipment use, clear communication, and occasional lifting of up to 10–15 pounds. Reasonable accommodations for individuals with disabilities will be provided as needed.

Confidentiality: This position involves access to protected health information (PHI) and other sensitive data. Employees are expected to maintain strict confidentiality in accordance with HIPAA, company privacy policies, and all applicable federal and state regulations.

Apply Now

Refine Your Search

member services representative jobs in ada, mi

Member Services Representative- Remote

Patient Services Representative Associate

Guest Services Representative The Gerald Grand Rapids, MI

Retail Guest Services Team Member - Lowell

Education Coordinator

Tax Manager - Individuals & Trusts

Director of Environmental Programs

Retail Shift Leader - Lowell

School Bus Driver

Non-CDL Bus Driver

Assistant Home Supervisor

Assistant Home Supervisor

Academic Interventionist (Certified in Math, Reading, or English as a Second Language)

Algoma Township Trustee

Wealth Management Trainee (MI)

Student Achievement Navigator- Jackson County Early College

Regional Sales Manager

Accelerated Path to Management Program

Financial Professional - Entry Level

In-Home Sales Representative

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