Customer Experience Specialist
Alignment Health
Sep 2024 - Current (2 years)
Explained health plan procedures, benefits, and services to members via phone and in-person. Managed member requests, including provider changes, transportation needs, and other support requests. Ensured timely response to all incoming member calls in accordance with departmental guidelines. Documented each call with relevant details, such as caller information, purpose, actions taken, and resolution. Addressed member complaints and grievances following established policies to achieve satisfactory resolution. Assisted with retention efforts by managing dis-enrollment or cancellation requests. Supported member outreach programs and initiatives as required. Maintained high standards of customer service, promoting a positive and helpful approa