Member Services Advocate

Gravie

. Serve as a first point of contact for members and providers .

Posted 9/15/2026full-timeRemote • United StatesJunior💰 $17 - $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong customer service skills with a focus on resolving complex issues related to health insurance plans, benefits, and claims. Proficient in maintaining compliance with HIPAA and other regulatory standards while effectively communicating with members and providers.

Highest-signal resume keywords

Customer Service ExperienceActive ListeningHealth Insurance KnowledgeCommunication SkillsCRM System Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ResolutionEligibility VerificationBilling Inquiry ManagementData EntryTyping SkillsProblem-SolvingAttention to DetailMultitaskingProcess AdherenceResults-Driven Mindset

Soft Skills

EmpathyCompassionOrganizational SkillsReliabilityAdaptability

Tools & Technologies

Microsoft OfficeGoogle SuiteCRM SystemsElectronic Databases

Certifications & Qualifications

Active Health Insurance Producer License

Industry Keywords

Health InsuranceMedicareMedicaidMarketplace PlansHIPAA Compliance

About the role

Key responsibilities & impact

Serve as a first point of contact for members and providers
Deliver service via inbound calls and emails
Help individuals navigate health insurance plans and understand benefits
Resolve claims issues and inquiries related to eligibility, billing, provider networks, and prescription coverage
Ask questions to understand issues and identify solutions or next steps
Explain claims, benefits, eligibility, billing, provider networks, and prescription coverage using internal systems
Listen actively and demonstrate compassion
Record interactions clearly and thoroughly in the CRM system
Partner with internal departments, third-party vendors, and brokers/navigators to provide resolution and support
Maintain a structured and reliable schedule; extended hours during January–March peak season may be required
Uphold the Gravie CARE service model
Ensure compliance with privacy, confidentiality, security, HIPAA, and other regulatory standards
Meet or exceed performance expectations for call quality, adherence, RSAT, After Call Work, and Call Answered%

Requirements

What you’ll need

1–2 years of experience in customer service or a call center environment
Passion for helping people and track record resolving complex customer concerns using active listening, creative problem-solving, and empathy
Strong written and verbal communication skills
High reliability and commitment to adhering to a structured work schedule
Excellent attention to detail and organizational skills
Experience entering and updating information in electronic systems or databases
Proficiency navigating computers and multitasking across multiple platforms and systems
Solid typing skills
Ability to learn quickly and follow established processes accurately and efficiently
Results-driven mindset and comfort working in a fast-paced, evolving environment
Previous experience in health insurance, healthcare, or related fields is extra credit
Familiarity with Microsoft Office and Google Suite is extra credit
Active Health Insurance Producer License or willingness to obtain licensure if required is extra credit
Experience with Medicare, Medicaid, or Marketplace plans is a plus
Access to a quiet, professional workspace and reliable high-speed internet meeting organizational minimum requirements
Must be currently authorized to work in the United States
Must not require employer visa sponsorship now or in the future

Benefits

Comp & perks

Alternative medicine coverage
Flexible PTO
Up to 16 weeks paid parental leave
Paid holidays
401(k) program
Transportation perks
Education reimbursement
2 days of paid paw-ternity leave
Standard health and wellness benefits