[Hiring] Member Services Representative @TEKsystems

Role Description

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.

Key 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.

Qualifications

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

Requirements

Technical & Functional:

• 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.

Customer Service & Soft Skills:

• 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).

Company Description

TEKsystems is 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 are a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe, and Asia.
• We partner with clients for our scale, full-stack capabilities, and speed.
• We are strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology.
• We are building tomorrow by delivering business outcomes and making positive impacts in our global communities.