Member Services Representative

🔥 20 hours ago

🔔 Pennsylvania – Remote

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💵 $18 - $19 / hour

⏳ Contract/Temporary

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Logo of TEKsystems

TEKsystems

10,000+ employees

Founded 1983

💼 Consulting

🎯 Recruiter

🏢 Enterprise

Consulting • Recruitment • Enterprise

TEKsystems is a global IT and business services firm that provides technology consulting, talent solutions, managed services and workforce recruitment to enterprise clients. The company delivers cloud, digital and data services (including AI/ML and automation), application innovation, Agile/DevOps transformation, technology operations and digital experience work, and operates large-scale talent and managed service programs. TEKsystems works across industries (financial services, healthcare, public sector, telecommunications, retail/manufacturing, energy and more), maintains technology partnerships with major cloud and software providers, and reports more than $7B in annual revenue and 100+ locations worldwide.

📋 Description

• 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

🎯 Requirements

• 1-3 years of healthcare customer service experience • Experience dealing with healthcare insurance • Must live in EST time zone • 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

🏖️ 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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