Customer Care Representative- Health Plan Enrollment

TEKsystems•San Diego, CA

1d•$25 - $25•Onsite

About The Position

This is a Contract position based out of San Diego, CA 92123. The pay range for this position is $25.00 - $25.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: 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). This is a fully onsite position in San Diego,CA 92123. This position is anticipated to close on Aug 27, 2026.

Requirements

Minimum 6 months of recent call center experience.
Experience working in a metric-driven environment with KPIs.
Strong customer service and communication skills.
Basic computer and data entry skills.
Ability to navigate multiple systems while assisting customers.
Strong research and problem-solving skills.
Understanding of HIPAA compliance.

Nice To Haves

Healthcare, health insurance, Medicare, or benefits-related call center experience.
Experience handling grievances and service recovery situations.
Experience managing 60-80 calls per day.
Familiarity with Epic and/or Talkdesk.
Knowledge of HMO plans and health insurance terminology.

Responsibilities

Handle high-volume inbound calls regarding health plan enrollment and benefits.
Assist members with plan selection, enrollment changes, and qualifying life events.
Verify eligibility, coverage, and enrollment status.
Explain plan benefits, premiums, deductibles, copays, coinsurance, and out-of-pocket costs.
Research and resolve enrollment-related issues.
Escalate complex inquiries when necessary.
Document customer interactions accurately in company systems.
Maintain HIPAA compliance and company standards.
Meet productivity, quality, and customer service metrics.