Medical Customer Experience Agent

TEKsystemsHouston, TX
9d$22 - $24Onsite

About The Position

As a Customer Experience Agent, you are the first point of contact and the voice of the Client for our members. Your primary responsibility is to deliver exceptional, empathetic, and efficient service – turning moments of concern into moments of reassurance. This role is fundamental to building trust with our members and delivering on our promise to improve every life. This is a full-time onsite position based in Northwest Houston, TX 77379. As a Customer Experience Agent, you will: -Respond to inbound inquiries from our Medicare Advantage members, providing accurate, timely, and warm support. -Navigate complex issues related to benefits, claims, enrollment, and clinical services, advocating for members’ needs while collaborating with internal teams to ensure full resolution. -Embody a customer-first mindset by actively listening to needs, de-escalating concerns, and providing personalized, compassionate support. -Use our internal systems and tools confidently to access member information while keeping your focus on the human connection behind every interaction. -Contribute to a culture of continuous improvement by documenting interactions and sharing feedback trends to improve both processes and experiences. -Adhere to all operational procedures and regulatory requirements to ensure compliance and protect member information.

Requirements

  • Bilingual in English and Spanish (required)
  • 2+ years of experience in a customer-facing role (call center, healthcare, hospitality, or similar)
  • High School Diploma or equivalent (Bachelor’s degree preferred)
  • Comfortable working onsite Monday–Friday with occasional weekends during peak season
  • Ability to work in a structured, fast-paced environment
  • Proficiency with Windows applications and Zoom
  • Customer service and call center experience
  • Empathy and strong communication skills
  • Tech-savvy; able to navigate multiple systems simultaneously
  • Problem-solving and resilience in high-pressure situations

Nice To Haves

  • Familiarity with healthcare or insurance terminology (preferred)

Responsibilities

  • Respond to inbound inquiries regarding benefits, claims, enrollment, and clinical services
  • Actively listen, de-escalate concerns, and provide personalized, compassionate support
  • Navigate multiple systems and tools to access member information and resolve issues
  • Collaborate with internal teams to ensure timely and complete resolutions
  • Document interactions and share feedback to improve processes
  • Adhere to compliance standards and protect member confidentiality

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)

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

501-1,000 employees

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