Top 829 Member services representative Jobs in Rockford, Mi

Member Services Representative- Remote
ASR CORPORATION —Grand Rapids, MI
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Health insurance
- Dental 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
11d
Tax Manager - Individuals & Trusts
RDV Corporation —Grand Rapids, MI
- 7 years
- Research
- Office
- Paid holidays
- Health insurance
Quick Apply
Staff Pharmacist - Long Term Care, Full Time
HomeTown Pharmacy Inc —Rockford, MI
- 8 hour shift
- CPR Certification
- BLS Certification
- Bachelor's degree
Quick Apply
Sales Manager
The Kendall Group, Inc. —Wyoming, MI
- Full-time
- Microsoft Excel
- Up to 50% travel
- Office
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
4d
Class A CDL - Fuel Transport Driver
Crystal Flash Inc. —Grand Rapids, MI
- Weekends as needed
- Clean driving record
- Hazmat Endorsement
- Customer service
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
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
Member Services Representative
Xtend —Grand Rapids, MI
- From $15 an hour
- Part-time
- Customer service
- High school diploma or GED
- In-person
- Health insurance
- Dental insurance
Quick Apply
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
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
11d
Paraprofessional
Integrity Educational Services —Grand Rapids, MI
- $30,000 a year
- Full-time
- Background check
- School experience
- Classroom
- Health savings account
- Health insurance
Quick Apply
1d
Paving Maintenance Technician
Keeley Construction —Grand Rapids, MI
- Construction site
- High school diploma or GED
- Driver's License
- Opportunities for advancement
Quick Apply
Fabricator
Van Laan Construction Supply —Caledonia, MI
- Overtime
- Forklift
- High school diploma or GED
- Driver's License
- Disability insurance
- Health insurance
Quick Apply
9d
Algoma Township Trustee
Algoma Township —Rockford, MI
- $7,270 a year
- Part-time
- 18 years or older
- Writing skills
- Office
Quick Apply
10d
Lead Generators- Field Marketer, Sales and Promotions
Avalon Building Concepts —Grand Rapids, MI
- $17 - $25 an hour
- 8 hour shift
- Clean driving record
- Construction site
- No experience needed
- Paid training
- Opportunities for advancement
Quick Apply
Mobile Crisis Response Clinician - 2nd Shift (26-56)
Network 180 —Grand Rapids, MI
- $27.49 - $36.44 an hour
- Weekends as needed
- Background check
- LMFT
- Spanish
- Paid holidays
- Loan repayment program
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
Licensed Practical Nurse
Milan Laser Hair Removal —Grand Rapids, MI
- $28.70 an hour
- Urgently hiring
- Mid-level
- Communication skills
- Continuing education credits
- Disability insurance
Quick Apply

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member services representative jobs near rockford, 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 rockford, mi

Member Services Representative- Remote

Director of Environmental Programs

Tax Manager - Individuals & Trusts

Staff Pharmacist - Long Term Care, Full Time

Sales Manager

Non-CDL Bus Driver

Class A CDL - Fuel Transport Driver

School Bus Driver

Retail Guest Services Team Member - Lowell

Member Services Representative

Retail Shift Leader - Lowell

Assistant Home Supervisor

Paraprofessional

Paving Maintenance Technician

Fabricator

Algoma Township Trustee

Lead Generators- Field Marketer, Sales and Promotions

Mobile Crisis Response Clinician - 2nd Shift (26-56)

Wealth Management Trainee (MI)

Licensed Practical Nurse

I want to receive the latest job alert for member services representative in rockford, mi

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