We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.
Member Services Representative
Location
United States
Posted
1 day ago
Salary
$18 - $19 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Member Services Representative
TEKsystems
Role Description As a Member Services Representative, you will serve as the first point of contact for members seeking assistance with their health plan benefits, account status, and service-related inquiries. This is a high-impact, customer-facing role that requires empathy, attention to detail, and a commitment to delivering a high-quality member experience. Key Responsibilities: - Respond to inbound calls and digital inquiries from members regarding benefits, claims, payments, and services. - Resolve member concerns with professionalism and empathy, ensuring first-contact resolution whenever possible. - Document all interactions accurately in the system according to compliance and procedural standards. - Educate members on plan options and promote appropriate services when relevant. - Collaborate with internal departments and external partners (e.g., medical groups, facilities) to resolve complex issues. - Meet or exceed performance metrics including call handling time, resolution rate, and customer satisfaction. - Participate in ongoing training and coaching sessions to maintain up-to-date knowledge of products and procedures. Qualifications - 1-3 years of healthcare enrollment, pharmacy tech, healthcare call center dealing with insurances, or related experience. Requirements Technical & Functional: - Proficient with Windows-based systems (Outlook, Word, Excel, internet browsers). - Comfortable working across multiple systems simultaneously. - Strong problem-solving and critical-thinking skills. - Ability to work in a fast-paced, high-volume environment. Customer Service & Soft Skills: - Service-oriented mindset with a passion for helping others. - Patient, empathetic, and calm under pressure. - Positive, professional, and cooperative attitude. - Open to feedback and committed to continuous improvement. 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). Company Description TEKsystems is a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution, and operations unlocks business value through a range of solutions. - We are a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe, and Asia. - We partner with clients for our scale, full-stack capabilities, and speed. - We are strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. - We are building tomorrow by delivering business outcomes and making positive impacts in our global communities.
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