Member Services Respresentative / Medicare customer support representative

Job Title: Member Services Representative

Location: Akron, OH, 44305

Duration: 4 Months

Candidate with more than 1 year of experience performing same or similar responsibilities. Relevant experience includes: Customer service including call-center or administrative support experience and BACKGROUND IN MEDICARE AND OR HEALTH INSURANCE

Summary of Position

The Customer Service Representative provides personalized service to members, addressing inquiries and resolving concerns related to enrollment, eligibility, benefits, billing, claims, and authorizations. The role requires strong communication skills, attention to detail, and the ability to deliver professional, empathetic service in a fast-paced environment.

Minimum Qualifications

Education

• High School Diploma or GED required; college coursework preferred.

Experience

• 1 year of relevant experience in customer service, call center, or administrative support.
• Experience in Medicare or health insurance environments strongly preferred.

Skills and Competencies

• Strong knowledge of customer service practices and phone system operations.
• Excellent written and verbal communication skills.
• Proficiency in Windows-based systems and computer applications.
• Empathetic, professional, and service-oriented demeanor.
• Experience with standard office equipment (PC, headset, etc.).
• Ability to learn health insurance regulations, policies, and procedures.
• Strong organizational and time management skills.
• Ability to handle confidential information responsibly.
• Flexibility to adjust work hours and comfort working remotely.

Physical Requirements

• Ability to sit for extended periods.
• Occasionally bend, stretch, and lift up to 20 lbs.
• Manual dexterity for computer and phone operation.

Essential Functions

1. Provide timely and professional assistance to members via phone, email, or in-person interactions.
2. Document inquiries and complaints accurately in the tracking system.
3. Meet or exceed departmental quality and performance metrics.
4. Demonstrate empathy, education, and respect in all customer interactions.
5. Maintain current knowledge of health insurance systems (e.g., Amisys, Macess) and regulations.
6. Exercise independent judgment and problem-solving skills in resolving member concerns.
7. Communicate effectively, maintaining a confident and customer-focused tone.
8. Manage multiple tasks efficiently in a high-volume environment.
9. Ensure strict confidentiality of member and business information.
10. Perform duties with integrity, professionalism, and adherence to company policies.