Member Services Specialist - TEXAS Residents Only - Hybrid

LegalEASE

Member Services Specialist - TEXAS Residents Only - Hybrid

Houston, TX
Full Time
Paid
  • Responsibilities

    We are only accepting Texas residents at this time: Please do not apply if you do not live in Texas. Thank you!

    Who we are:

    We are a legal access employee benefits company that makes the needs of members a priority and strives to offer them the best product and service in a personal, but professional, manner.

    At LegalEASE, we consider our culture to be among our most important resources. Over the decades our team members have built our culture into what it is today — an environment for our team members to be creative and grow, have fun and be successful, and help our customers to the best of their abilities. Today, this culture is the core at our decision making and strategy.

    Join our Team:

    We create a customer focused work environment by providing Team Members with the same level of service, respect, and dignity that we provide to our members. Our deeply instilled culture is personified by our Team Members who ensure that we have helped each and every member to the best of our abilities, and to become a company that is easy to work with. If you want to be a part of this cohesive team with opportunities to build a successful career, LegalEASE is the right place for you.

    Job Purpose:

    We are looking for a detail oriented, efficient individual who can derive a sense of pride and fulfilment in work well done. This role is a customer service position with the purpose of working with members to successfully obtain all pertinent information to be able to have them matched with the appropriate legal representation. This role works in a call center environment handling inbound and outbound calls from and to members and providers. This role works in a team environment and is expected to consistently maintain metrics/KPI’s as defined by management.

    What you will do:

    Follow the vision, goals, and direction of the department.

    Answer incoming emails in a timely manner as defined by the Service Level Agreements

    Quickly determine the caller’s needs and proceed to handle the intake of information and assist the caller

    Confirm eligibility when necessary and verify plan benefits

    Complete a thorough and accurate case profile during intake

    Ensure that the member has a clear and correct understanding of benefits and process before ending the initial call

    Attempt to create comfort zones with each member

    Work with the team to proactively solve issues

    Communicate effectively and in a timely fashion with customers, teammates, and management Notate all applicable information into each case within the CMS

    Complete a Daily Status Updates when referrals are not ready the same day or the next day, so that the information can be communicated to the member

    Provide Referral information to the member within 30 minutes of completion

    Use every available contact method to provide the referral to the member

    Follow up within one (1) day to confirm that the member received the referral information and was able to reach the attorney unless a success warm transfer call was completed during referral

    Follow up with the members until it can be confirmed that the member has had a consultation using the Follow-up Guidelines when you are unable to reach the member

    Ensure that the member was satisfied with the consultation and determine whether the member will use the Provider’s services, would prefer another Provider, or has received all necessary services

    Continue following up with the member until the Providers are completed to ensure satisfaction, at each and every touch point, proactively and after

    Report all issues, concerns, complaints and potential problems with Members or Providers using the Escalations Procedures

    Respond to all phone messages and emails within two (2) business hours

    Report daily activity, using the standard Daily Report format

    All other duties as assigned.

    Perform other duties as assigned.

    You will do it using your:

    Excellent verbal and written communication skills.

    Ability to take ownership of project.

    Ability to meet aggressive deadlines while maintaining a positive attitude.

    Ability to work under pressure and follow through on tasks.

    Strong organizational skills, Ardent, with an applicable sense of urgency.

    High attention to detail and proven ability to manage multiple, competing priorities simultaneously with minimum supervision.

    Ability to build relationships with leadership team/department heads, in order to more successfully and efficiently complete and prioritize Pricing Actuary/ Underwriter related tasks under deadline.

    Ability to maintain in-depth working knowledge of LegalEASE’s systems and processes.

    Basic Qualifications:

    High School Diploma, College Degree preferred

    Must demonstrate strong customer service skills, displaying sound judgement and decision-making

    Must manage customer expectations by resolving issues in a timely manner

    Must plan work appropriately and balance multiple priories

    Excellent communication skills, both written and verbal

    Must maintain the highest level of professionalism

    Microsoft Office proficiency

    Our Offering:

    Culture built on Trust, Respect, and Integrity

    Environment that supports the personal drive for excellence

    Access to robust health insurance and legal benefit plans

    Training and Development opportunities

    Paid vacation

    Free Fitness Center on property

    401 (k) Retirement plan

    Work Authorization/Security Clearance:

    Candidate must have valid work authorization for the U.S.

    A criminal background investigation is conducted on every Legal Access Plans employee.

    All job requirements are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees.

    AAP/EEO Statement:

    Legal Access Plans is an equal opportunity employer.

    Flexible work from home options available.