New

Member Services Representative (Open Enrollment)

TEKsystems
$20.00 - $29.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, California, Roseville
Jul 21, 2025
Job Title: Member Services Representative Location: Professional corporate office located in Roseville, CA, 95661 Pay: $20-$29/hr depending upon experience Schedule: M-F 8:00 am - 5:00 pm Start Date: September 8th Position Overview We are seeking a detail-oriented and compassionate Member Services Representative to support our healthcare members with eligibility, benefits, and claims inquiries. This role requires strong communication skills, a customer-first mindset, and the ability to manage high call volumes in a fast-paced environment. Key Responsibilities * Respond to member inquiries via phone, in person, and written correspondence * Explain plan benefits, eligibility, claims processing, and appeals * Draft eligibility, sick leave, and basic medical appeals as needed * Initiate and process forms including COBRA, self-payments, stop payments, and claim notices * Maintain accurate documentation of all member interactions * Verify and update member information in the system * Act as a liaison between members and providers to facilitate claims resolution * Calculate sick leave banks and confirm dependent documentation * Assist with special projects and refer members to appropriate departments Sample Call Duties * Answer calls using a headset * Conduct HIPAA verification and surveys * Handle provider eligibility and enrollment requirement questions * Process carrier and dependent coverage changes * Update other insurance and dependent documentation * Explain wellness step requirements and health risk questionnaires * Track all interactions in the member's profile Required Skills & Qualifications * High school diploma or equivalent * Minimum 1 year in a high-volume call center (60+ calls/day); healthcare experience preferred * Strong communication, grammar, and basic math skills (percentages, ratios, etc.) * Proficient in Microsoft Office and data entry * Reliable, punctual, and able to work independently Thank you for considering this opportunity and please apply directly with an updated resume. Upon review of your application, you may receive a phone call from a Recruiter at TEKsystems to discuss the next steps in our hiring process! Pay and Benefits The pay range for this position is $20.00 - $29.00/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 onsite position in Roseville,CA. Application Deadline This position is anticipated to close on Aug 1, 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.