Detail-oriented and compassionate professional with proven experience in member services and customer support within the healthcare industry. Skilled in resolving complex member and provider inquiries, interpreting benefit eligibility, and educating stakeholders on healthcare program policies and procedures. Demonstrates fluency in core service lines and consistently meets or exceeds service level expectations through effective communication, problem-solving, and adherence to organizational guidelines. Known for identifying service trends, contributing to process improvements, and ensuring high levels of satisfaction across diverse member populations. Adept at navigating cross-functional systems and collaborating with internal departments to drive timely, accurate resolutions.