Member Engagement Representative

Who We Are:

At Solera Health, we're dedicated to transforming lives through innovative healthcare solutions. Our mission is to connect individuals with effective, evidence-based interventions to manage chronic conditions and improve overall health outcomes. By leveraging our dynamic platform, we connect consumers with the right disease prevention programs, partnering with a broad network of community organizations and digital therapeutics providers.

About the Role:

As a Member Engagement Representative at Solera, you'll play a critical role in supporting participants on their journey toward healthier lives. You'll provide exceptional customer service by addressing inquiries, resolving issues, and guiding participants through our systems for a seamless experience. Your day-to-day will involve managing both inbound and outbound communications, resolving complex questions, and verifying insurance eligibility and benefits.

Hours: Full-time, Monday - Friday, 12:30 PM - 9:00 PM EST

What You’ll Do:

• Respond to inquiries and resolve concerns via phone, email, and chat, ensuring a high level of service.
• Assist participants with qualifying for and selecting the right health programs.
• Address inquiries, handle disputes, and manage escalations effectively.
• Report trends and issues to internal teams for further analysis.
• Support outbound call campaigns to engage with potential members.
• Maintain service levels for inbound inquiries to ensure high-quality interactions.
• Complete administrative tasks, follow-ups, and ensure accuracy in all communications.
• Manage social media inquiries (e.g., Facebook) and assist with member outreach efforts.

What We’re Looking For:

• Experience: 2+ years of call center customer service experience within the healthcare industry is required.
• Expertise: Strong knowledge of insurance eligibility, benefit verification, and healthcare claims.
• Customer Service Skills: Excellent ability to actively listen, empathize, and demonstrate deep knowledge of healthcare programs.
• Technical Proficiency: Comfort with navigating multiple computer systems and phone software efficiently.
• Communication: Exceptional written and verbal communication skills.
• Typing Skills: Minimum typing speed of 45 words per minute.

Why Join Us?

• Innovative Impact: Join a team that’s passionate about revolutionizing healthcare with cutting-edge solutions.
• Remote Flexibility: Enjoy the benefits of working from home.
• Career Growth: Access to opportunities for professional development and career advancement.
• Supportive Culture: Thrive in a collaborative, team-oriented environment that values your contributions and supports your growth.

Disclaimer: The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor are they intended to be an all-inclusive list of the skills and abilities required to do the job. Management may, at its discretion, assign or reassign duties and responsibilities to this job at any time.

EEO: Solera Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Solera Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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