Remote Health Plan Member Care Specialist

WPS—A health solutions company; Nebraska; Remote; USD 23,000 - 33,000; Full time

Benefits offered by this job

Remote work options available

Performance bonus

401(k) with match

Competitive PTO

Health/dental/telehealth start DAY 1

Professional development programs

Job summary

WPS is seeking a Customer Care Center Representative to deliver outstanding service to our members, brokers, and providers. You will research health plan inquiries and resolve issues with empathy, documenting interactions to ensure smooth follow-up and clear communication.

The role serves as the first contact for benefits, eligibility, and claims questions, requiring accuracy and courteous, thorough responses. Training lasts eight weeks, with a regular 8:30am–5:00pm CT schedule thereafter.

Qualifications

• 1+ year of customer service in health insurance or call center.
• Ability to explain complex information clearly.
• Empathy and patience in difficult situations.
• Accurate documentation and follow-up in systems.
• Adherence to central time zone schedule.

Responsibilities

• Serve as first contact for benefits, eligibility, and claims questions.
• Provide detailed responses to inquiries with accuracy.
• Research using multiple systems to resolve issues.
• Document interactions for follow-up and QA.
• Collaborate with internal teams on complex inquiries.

Skills

Customer service

Communication

Problem-solving

Multitasking

Attention to detail

Microsoft Office

Portal navigation

Education

High School Diploma or GED

Tools

Facets

NTT

Job description

WPS is seeking a Customer Care Center Representative to deliver outstanding service to our members, brokers, and providers. You will research health plan inquiries and resolve issues with empathy, documenting interactions to ensure smooth follow-up and clear communication.

The role serves as the first contact for benefits, eligibility, and claims questions, requiring accuracy and courteous, thorough responses. Training lasts eight weeks, with a regular 8:30am–5:00pm CT schedule thereafter.