Health Plan Specialist

TEKsystems • Tampa, FL

5d • $21 - $22 • Remote

About The Position

The Health Plan Specialist supports members with questions about health plan benefits, billing, enrollment, coverage, and account-related matters. This is a high-volume inbound call center role supporting members during Open Enrollment, with approximately 50–70 calls per day. The specialist researches and resolves issues, documents interactions accurately, navigates multiple applications, and provides professional, empathetic customer service. The position is fully remote, but candidates must reside in AR, AZ, FL, GA, IA, IL, KS, KY, MI, MN, MO, ND, NE, OK, SD, TN, VA, or WI. The posting identifies the role as a contract position based out of Tampa, Florida, and lists a pay range of $21.00–$22.00 per hour.

Requirements

• High school diploma, GED, or equivalent work experience.
• At least 2 years of call center experience.
• Strong verbal and written communication skills.
• Ability to multitask across multiple screens and applications.
• Strong attendance and reliability.
• Excellent problem-solving and critical-thinking skills.
• Ability to work in a fast-paced customer service environment.

Nice To Haves

• Customer service experience in the health insurance industry.
• Experience supporting Medicare and/or Medicaid members.
• Knowledge of benefits, enrollment, billing, or claims processes.
• Proficiency with Microsoft Office applications.
• Experience in a high-volume inbound contact center environment.
• Empathy, active listening, a positive attitude, and a member-first mindset.
• Ability to explain complex information clearly and effectively.
• Team-oriented, collaborative approach.
• Interest in long-term career growth opportunities.

Responsibilities

• Handle approximately 50–70 inbound calls per day.
• Assist members with benefits, billing, enrollment, and coverage-related questions.
• Research and resolve customer concerns from start to finish.
• Accurately document customer interactions and resolutions.
• Navigate multiple applications and systems simultaneously.
• Use available tools and resources to provide accurate information.
• Maintain ownership of member issues through resolution.
• Deliver professional, empathetic, high-quality customer service.
• Collaborate with team members to support customer needs and service goals.

Benefits

• Medical, dental, and vision coverage, subject to eligibility.
• Critical illness, accident, and hospital coverage, subject to eligibility.
• 401(k) retirement plan with pre-tax and Roth post-tax contributions available, subject to eligibility.
• Voluntary life insurance and AD&D coverage for employees and dependents, subject to eligibility.
• Short- and long-term disability coverage, subject to eligibility.
• Health Spending Account (HSA), subject to eligibility.
• Transportation benefits, subject to eligibility.
• Employee Assistance Program, subject to eligibility.
• Time off/leave, including PTO, vacation, or sick leave, subject to eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED