Member Services Representative- FULLY REMOTE!

TEKsystems•Harrisburg, PA

1d•$18 - $19•Remote

About The Position

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.

Requirements

1-3 years of healthcare enrollment, pharmacy tech, healthcare call center dealing with insurances, or something related experience.
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
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

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.