Job Description

Professional Summary

The Member Services Representative is responsible for delivering exceptional customer support by resolving inquiries and complaints related to health plan coverage, claims, referrals, eligibility, and billing. This role serves as a key point of contact for members, providers, employer groups, and other stakeholders, ensuring accurate information is provided through phone, email, and in-person interactions. The ideal candidate is experienced in high-volume call center environments, particularly within regulated industries such as healthcare or insurance, and demonstrates professionalism, empathy, and attention to detail in every interaction.

Key Responsibilities

• Respond to member and provider inquiries regarding health plan benefits, claims, referrals, and eligibility.
• Resolve complaints and service issues related to appointment access, billing, physician selection, and medical center services.
• Handle inbound and outbound calls with professionalism and efficiency, maintaining high service standards.
• Educate members and employer groups on billing processes, coverage details, and online system enrollment.
• Assist with delinquent account notifications and payment arrangements.
• Maintain confidentiality of member information in compliance with company and regulatory policies.
• Collaborate with internal departments to update and correct member account information.
• Navigate multiple complex systems to research and resolve issues independently.
• Meet departmental performance standards for call handling, availability, and audit compliance.

Qualifications

• High School Diploma or GED (must be verifiable).
• Minimum of 1 year of high-volume call center experience.
• Prior experience working from home in a customer service capacity.
• Experience in a regulated industry such as healthcare, insurance, banking, or credit services.
• Preferred: Call center experience in a healthcare or insurance environment.
• Strong verbal and written communication skills.
• Ability to manage multiple systems and tasks in a fast-paced environment.
• Demonstrated professionalism, empathy, and problem-solving abilities.

We reserve the right to pay above or below the posted wage based on factors unrelated to sex, race, or any other protected

classification. 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. This temporary role may be eligible for the following:

• Medical, dental & vision
• 401(k)/Roth
• Insurance (Basic/Supplemental Life & AD&D)
• Short and long-term disability
• Health and Dependent Care Spending Accounts (HAS & DCFSA)
• Transportation benefits
• Employee Assistance Program
• Time off/Leave (PTO, Vacation, or Sick Leave)

Pay and Benefits

The pay range for this position is $17.00 - $20.00/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)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Sep 16, 2025.

h4> About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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