Health Plan Specialist - Medicare

TEKsystems; Phoenix (AZ); Remote; USD 29,000 - 30,000; Full time

Job summary

TEKsystems is seeking an experienced Health Insurance Customer Service Specialist to provide inbound support for health plan members. You will handle complex inquiries, resolve issues end-to-end, and document each interaction across multiple systems.

The role requires excellent communication and comfort with remote work. The position is contract-based, fully remote, with a 4-month term and a potential extension.

Qualifications

• High School Diploma or equivalent; equivalent work experience will be considered in lieu of educational requirement
• 2+ years of call center experience
• Customer Service experience in a Health Insurance related setting (highly preferred)
• Proficiency in MS Office applications, using multi-screen workstations, and using multiple applications simultaneously
• Excellent verbal and written communication skills

Responsibilities

• Provide inbound telephonic customer service to health plan members during peak Open Enrollment; handle ~50–70 calls daily
• Answer complex questions related to benefits, billing, enrollment with accuracy and professionalism
• Own each interaction from start to finish; resolve issues end-to-end and ensure concerns are addressed
• Document all member interactions thoroughly in the appropriate systems
• Collaborate with team members and participate in remote meetings and trainings
• Use company equipment (headset, dual monitors) and multiple applications to research and resolve issues
• Follow up on issues and communicate outcomes clearly to members

Skills

Call center experience

Customer service

Verbal and written communication

Education

High School Diploma

Tools

MS Office

Multi-screen workstations

Job description

Job Description

• Provide exceptional inbound telephonic customer service to health plan members, handling approximately 5070 calls per day during peak Open Enrollment season.

• Answer complex questions related to benefits, billing, enrollment, and other health plan inquiries with accuracy and professionalism.

• Own each member interaction from start to finish by providing end-to-end issue resolution and ensuring all concerns are fully addressed.

• Document all member interactions thoroughly, maintaining complete, accurate, and timely records in the appropriate systems.

• Treat all customers with respect and courtesy, consistently acting with the members best interests in mind.

• Utilize online tools, resources, and multiple applications efficiently to research information and resolve member issues.

• Resolve customer issues with a high degree of accuracy, ensuring timely follow-up and clear communication of outcomes.

• Assist members in complex situations by applying critical-thinking skills, problem-solving abilities, and clear explanations of complex information.

• Collaborate with team members to support one another in managing customer issues and sharing best practices.

• Maintain excellent attendance and reliability to support consistent service levels for members.

• Participate actively in remote meetings and training sessions, appearing on camera and engaging with facilitators and peers.

• Use all company-provided equipment, including headset and dual monitors, in accordance with security and performance expectations.

Start: 11/16

Pay: $21.00/Hr. $1.00/Hr shift differential provided if your schedule goes after 6:30pm CST.

Schedule: Monday - Friday 8:00am - 9:00pm. Quarterly Saturday rotation, 9:00am - 3:00pm.

Location: 100% remote. All equipment is provided.

Duration: 4 Month contract, possibility for extension

Qualifications:

• High School Diploma, GED or equivalent; equivalent work experience will be considered in lieu of educational requirement

• 2+ years of call center experience

• Customer Service experience in a Health Insurance related setting (highly preferred)

• Proficiency in MS Office applications, using multi-screen workstations, and using multiple applications simultaneously.

• Excellent verbal and written communication skills

#centralpriority26

Job Type & Location

This is a Contract position based out of Phoenix, AZ.

Pay and Benefits

The pay range for this position is $21.00 - $22.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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)

Job Type & Location

This is a Contract position based out of Phoenix, AZ.

Application Deadline

This position is anticipated to close on Nov 2, 2026.

Workplace Type

This is a fully remote position.

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

Were 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. Were 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. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were 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.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified 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 continued 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 decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.