• Responsible for facilitating the sales process to generate new sales opportunities or upsell via phone, email, or other electronic communication • Oversee responses to customer order and quotation requests for all levels of accounts received via outside salespersons, telephone, e-mail, and written and faxed correspondence • Prospects for new sales opportunities via outbound calling and emailing • Facilitates the sales process through project management, tracking open sales orders, issue resolution, and overall customer service and support • Generates profitable growth thru quota attainment • Provides product pricing by consulting the pricing matrix and other resources to determine the appropriate price • Develops code directives for certain products while maintaining target margin goals • Performs estimating, take-off, and proposal duties as necessary

Role Description We are seeking customer-focused professionals to join our team as a Member Experience Representative. In this role, you will serve as the primary point of contact for members, providers, customers, and brokers, assisting with questions related to health insurance coverage, claims, benefits, billing, and authorizations. This is an excellent opportunity for individuals with healthcare customer service, insurance, or call center experience who enjoy helping others and solving problems in a fast-paced environment. - Answer incoming calls and emails from members, providers, customers, and brokers. - Assist with questions regarding: - Health insurance coverage - Claims status - Benefit interpretation - Billing inquiries - Prior authorizations - Investigate and resolve member concerns while striving for first-call resolution. - Clearly explain healthcare and insurance information in an easy-to-understand manner. - Document all interactions accurately within company systems. - Research member issues and collaborate with internal departments to resolve concerns. - Escalate complex issues when appropriate. - Maintain confidentiality and protect sensitive member health information. - Meet quality, service, and productivity metrics. Qualifications - Minimum of 2 years of healthcare customer service or call center experience. - Experience working with: - Commercial insurance - Insurance verification - Explanation of Benefits (EOBs) - Prior authorizations - Strong customer service and problem-solving skills. - Excellent verbal and written communication abilities. - Ability to navigate multiple computer systems simultaneously. - Intermediate Microsoft Office skills, including Outlook, Word, and Excel. - Ability to work independently in a remote environment. Requirements - Medicare experience (preferred). - Health plan or health insurance experience (preferred). - Previous call center experience (preferred). - Knowledge of insurance concepts and terminology (preferred). Benefits - Medical, dental & vision. - Critical Illness, Accident, and Hospital. - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available. - Life Insurance (Voluntary Life & AD&D for the employee and dependents). - Short and long-term disability. - Health Spending Account (HSA). - Transportation benefits. - Employee Assistance Program. - Time Off/Leave (PTO, Vacation or Sick Leave). Training & Schedule - Training: First 6-8 weeks, Monday-Friday, 8:00 AM - 4:30 PM CST. - After Training: Monday-Friday, 8:00 AM - 4:30 PM CST or 8:30 AM - 5:00 PM CST. Job Type & Location This is a Contract to Hire position based out of Menasha, WI. The pay range for this position is $18.25 - $18.25/hr. Application Deadline This position is anticipated to close on Jul 15, 2026.

• To negotiate, facilitate and monitor successful return-to-work of claimants within appropriate disability duration guidelines • Assist case management staff with client competence decisions for individual positions • Determine objective, quantifiable, medically supported work restrictions for assigned claims • Facilitate return-to-work (RTW) and accommodation efforts through negotiation with client, treatment provider and claimant • Complete all accommodation/RTW related jurisdictional or client directed documentation, notification, or reporting • Document client contact in claim notes as per Sedgwick CMS standards • Adhere to medical and legal regulations and accreditation standards in written communication • Contact employers to determine specific information regarding employment area • Ascertain the specific physical tolerances, vocational skills and essential job functions needed for specific employment positions • Recommend necessary adaptive equipment as needed • Maintain regular contact with clients following placement as per program guidelines

• Handle 40+ inbound calls daily from members and providers in a back-to-back call center environment • Address multiple members and provider needs, including benefit questions, service issues, and general inquiries • Escalate unresolved and pending customer grievances • Document all interactions, actions taken, and outcomes in internal systems • Resolve routine to moderately complex issues by following established guidelines and workflows • Identify issues requiring escalation and ensure handoff to the appropriate teams • Meet quality, productivity, and customer experience expectations