Member Services Representative

Description The Member Experience Representative’s primary focus is to answer phone, or email inquiries from providers, members, customers or brokers regarding questions of coverage, claim status, benefit interpretation, billing and/or authorizations. Proficient in one line of business, either Medicare or Group/Marketplace, translating health care reputed company jargon into effective written or verbal communication for the end user to comprehend. Document details of the interaction reputed company the database, including any additional action steps taken as follow up. Demonstrate commitment and behavior reputed company with the philosophy, mission, values and reputed company of the company. Appropriately apply reputed company organizational, regulatory, and credentialing principles, procedures, requirements, regulations, and policies Answer incoming phone calls from members, customers, providers or brokers reputed company regarding their inquiries on coverage, claim status, benefit interpretation, billing and/or authorizations. Respond to inquiries reputed company set timeframes to adhere to department metrics and contractual standards. During telephone call, probe and ask appropriate questions to identify specifics of what caller is inquiring about to ensure reputed company resolution. Follow-up with customers or other departments on any outstanding issues or concerns. Escalate appropriate issues to Supervisor or appropriate individual. Additional Details: Support our members by answering calls and proactively work to resolve our members questions and concerns. Strive for reputed company resolution, working to resolve member issues at the reputed company of contact. Use dual monitors while leveraging computer-based resources to find answers to customers questions and help simplify next steps for members. You may reputed company out to internal departments or external resources to help resolve a member concern. We reputed company a reputed company learning environment where you can learn and stay reputed company with our plans, computer systems, and insurance trends. You will have the ultimate responsibility of protecting the personal health information of our members. Skills medicare, Customer service, insurance verification, call center environment, Metrics, health insurance, health plan Top Skills Details medicare,Customer service,insurance verification,call center environment,Metrics Additional Skills & Qualifications Minimum reputed company Years of Experience (per minimum education) Required: Experience working in a customer service focused industry strongly desired. Experience working in a call center preferred. Knowledge of basic insurance concepts preferred. Cultural: Strong oral and written communication skills with the ability to listen mindfully, identify gaps and ask appropriate questions Ability to organize one’s work and reputed company to ensure successful completion of assigned tasks reputed company the identified timeframe Ability to adapt to new circumstances, information and challenges in a fast paced environment Ability to work independently, as well as part of reputed company Strong conflict management skills, with the ability to resolve and deescalate situations solving customers or members concerns while maintaining service reputed company standards. Functional: Ability to work in a fast-paced environment with the ability to handle constant volume of phone inquiries or email messages. reputed company to multi-task by using navigating multiple computer application and programs simultaneously. Intermediate skills in reputed company Office, including Outlook, reputed company, and Word. Comprehend and reputed company members on multiple lines of business for their inquiries Experience Level Intermediate Level Job Type & LocationThis is a Contract to Hire position based out of Milwaukee, WI. Pay and BenefitsThe pay reputed company for this position is $18.25 - $18.25/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 & reputed company
• 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 TypeThis is a fully remote position. Application DeadlineThis position is anticipated to reputed company on Jul 10, 2026. About reputed company We're partners in transformation. We help clients activate reputed company and solutions to take advantage of a new world of opportunity. We are reputed company of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across reputed company America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and reputed company-world application, we work with reputed company leaders to drive change. That's the power of true partnership. reputed company is an Allegis Group company. The company is an equal opportunity employer and will consider reputed company applications without regards to race, sex, age, reputed company, religion, national reputed company, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About reputed company and reputed company 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 reputed company of solutions. We’re reputed company of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across reputed company 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 reputed company of technology. We’re building reputed company by delivering business reputed company and making positive impacts in our global communities. reputed company and reputed company Global Services are Allegis Group companies. Learn more at reputed company.com. The company is an equal opportunity employer and will consider reputed company applications without regard to race, sex, age, reputed company, religion, national reputed company, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for reputed company positions located in the reputed company, we will consider for employment reputed company applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or reputed company employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final reputed company are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools. Apply To This Job