Member Services Representative, Sr. addresses more complex health plan or HMO member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for receiving, responding to, and directing member phone calls and written requests. Being a Member Services Representative, Sr. provides available information upon request and researches or escalates issues as appropriate. Maintains confidentiality per HIPAA guidelines. Additionally, Member Services Representative, Sr. requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Member Services Representative, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Member Services Representative, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
The Member Services Representative
Objective:
The Member Services Representative is responsible for growing the membership base and connecting members to the Personal Training Manager.
The Member Services Representative is also the club ambassador connecting the local community with their club.
Key Performance Indicators:
1. Close 70% of membership consultations.
2. Schedule 90% of new members with Personal Training Manager for training consultations.
3. Keep current accounts/membership dues in good standing.
4. Complete daily tasks as assigned by the club's follow-up algorithm.
Characteristics of successful Member Services Representatives:
1. Outgoing-Member Service Reps. are the easiest people to talk to (on the phone, in person, etc.). They ask great questions and listen with care. They are the “face of the club” so they must set the bar for professionalism.
2. Motivated-Member Service Reps. are always busy. They never stop during working hours prospecting on the phone, on social. media, and at community events.
3. Happy-Member Service Reps. can be counted on for a positive uplifting smile or word of encouragement.