Member Service Representative

Job Title: Member Service Representative

Location: Akron, OH (Remote after 4 weeks of onsite training)

Duration: July 13, 2026 December 31, 2026 (Seasonal Contract)

Schedule: Monday Friday | 8:00 AM 5:00 PM

Position Summary

We are seeking experienced Member Service Representatives to provide exceptional customer support to health plan members. This role involves assisting members with questions related to enrollment, benefits, eligibility, claims, billing, authorizations, and other healthcare-related inquiries. The ideal candidate will have strong customer service skills, experience in a call center environment, and a background in Medicare and/or health insurance.

Note: A typing test will be required prior to the interview process.

Key Responsibilities

• Provide personalized service to members via phone, email, and other communication channels.
• Respond to inquiries regarding benefits, eligibility, enrollment, billing, claims, and authorizations.
• Document member interactions accurately in the tracking system and ensure appropriate follow-up.
• Meet or exceed departmental productivity and quality standards.
• Demonstrate empathy, professionalism, and a customer-first approach in all interactions.
• Maintain confidentiality of member health and business information.
• Utilize independent judgment and problem-solving skills to resolve member concerns.
• Communicate effectively with internal teams and external customers.
• Comply with all company policies, procedures, and regulatory requirements.
• Maintain knowledge of health insurance products, Medicare guidelines, and internal systems.
  
  

Required Qualifications

• High School Diploma or GED required.
• College coursework or degree preferred.
• Minimum of 2 years of customer service, call center, or administrative support experience.
• Strongly preferred: Experience in Medicare, health insurance, managed care, or healthcare customer service.
• Excellent verbal and written communication skills.
• Strong computer proficiency, including Windows-based systems.
• Ability to multitask and work in a fast-paced environment.
• Strong attention to detail and documentation skills.
• Ability to maintain professionalism, empathy, and confidentiality.
• Comfortable working remotely after training.
  
  

Technical Requirements

• Proficient with computer systems and standard office equipment.
• Ability to use headset, VPN access, Wi-Fi connectivity, and audio controls.
• Strong keyboarding and data-entry skills.
  
  

Physical Requirements

• Ability to sit for extended periods.
• Occasional bending, stooping, and stretching.
• Ability to lift up to 20 pounds.
• Manual dexterity to operate computers, phones, and office equipment.