Licensed Member Care Representative

Member Care Mai Benefit Activation Specialist

This is a business needs-driven, temporary role supporting our Tandem partnership with Humana (MAI). In this role, you will work directly with new Humana members to guide them through a structured conversation and complete the necessary modules to activate their benefits, ensuring a smooth and positive start to their plan experience.

Key responsibilities include:

• Conduct structured, client-centric conversations with members who are new to their Humana plan.
• Guide members step-by-step through required modules to activate their benefits accurately and completely.
• Provide an exceptional customer experience, ensuring members feel supported and informed throughout the process.
• Maintain compliance with Humana and TRANZACT standards while completing benefit activation calls.
• Accurately document member interactions and completed modules.
• Perform other duties as assigned.

What you need to be successful:

• Customer Service Orientation: Genuine dedication to creating positive, member-first conversations; this is a customer service role, not a sales role.
• Communication Skills: Exceptional verbal communication skills with the ability to guide members through structured conversations clearly and patiently.
• Attention to Detail: Ability to accurately complete all required modules and documentation with a high degree of accuracy.
• Adaptability: Comfortable following a structured process while still tailoring the conversation to each member's needs.
• Technical Proficiency: Proficient in Microsoft Office and other job-related tools and technology.
• Performance Metrics: Performance at or above program average goals.

Additional requirements:

• Must be licensed; however, this role does not involve performing licensed work.
• Performance at or above program average for the previous 90 days.
• Full availability to work a schedule beginning as early as 8:30 AM EST or ending as late as 9:00 PM EST; ability to work overtime as required.
• During AEP, full availability to work during business hours of operation, including weekends as needed.
• Demonstrates and lives the BE REAL values and attributes.

Why consider this opportunity?

• Growth: Build valuable skills in structured member conversations and benefit activation processes.
• Impact: Play a direct role in helping new Humana members get their benefits set up correctly from day one.
• Team-Oriented Environment: Contribute to a supportive and collaborative team that values professional development and continuous learning.

No cold calling. $18.00 per hour plus no limits on monthly sales bonuses!! Paid training. Paid time off and holidays. Professional and fun culture. Full benefits.