Remote Member Service Representative (Healthcare)

The Customer Service Representative is on the front line in helping our organization deliver on its Core Values. First and foremost, the CSR will consistently deliver the BEST Customer Service. The CSR provides our customers with timely, accurate, and customer-focused benefit and claim information for all the products administered by our program. Duties include providing call center callers with timely, accurate, and customer-focused claim information, solicit information needed to perfect the claim, consistently deliver a superior level of customer service, document the claim system, work with the STD, SDI, AM, LTD, Life and AD&D products, and perform well in a remote call center team environment. Required Skills & Abilities: 1-2 + years of related call center or office-based customer service experience In lieu of related experience, Bachelor's degree is also accepted. Must have strong people skills and carry a strong phone presence over the phone. Prior experience in insurance, benefits/claims, or financial services is a plus. Proven work tenure from previous work experience. Must have a high school diploma or GED. Proficiency in MS Office applications (especially word processing, and database/spreadsheet) required. Key Accountabilities: Provide various external and internal callers with timely, accurate, and customer-focused disability and/or life and/or leave claim information. Solicit information from various sources needed to appropriately document new claim submissions, ongoing claims, other applicable situations, etc. Record summaries of information exchanged in our claim system with a high level of accuracy and detail easily understood by the user. Issue timely and accurate claim acknowledgement correspondence. Process incoming documents with high coding integrity and distribute immediately. Remain fully compliant with operational standards. Meet or exceed call center operational metrics. Maintain a superior level of genuine caring and empathetic customer service throughout all interactions. Take appropriate actions to earn the caller's trust. Anticipate customer needs and take action. Work as a team to support one another through flexibility, collaboration, creating a positive work environment, consistently maintain professionalism and integrity, actively taking steps to foster high morale, and demonstrating a dedication to excellence. Details: 100% remote | Equipment Provided. Applicants must provide the internet and a quiet workspace. Schedule: Monday to Friday | Multiple Shifts available ranging between 8AM -8PM (45 minute lunch, 38.5 hours per week) Pay: $18 - $20/hr. based on related experience or education Pay cycle – Weekly | Medical, Dental & Vision Benefits offered. Pay and Benefits The pay range for this position is $18.00 - $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 Aug 5, 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.