Remote Health Plan Support Specialist

TEKsystems; Madison (WI); Remote; USD 29,000 - 30,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Disability insurance

Paid time off (PTO)

Job summary

TEKsystems is seeking Health Plan Specialists to support members with benefits, billing, enrollment, and coverage. This fully remote role handles inbound calls, aims for resolution, and delivers excellent member experiences with empathy and accuracy.

The position requires strong problem solving and independence within a remote work setup, with hours between 8:00 AM and 9:00 PM CST. Based in Madison, WI as a contract role, candidates must reside in eligible states and have prior call center

Qualifications

• High School Diploma, GED, or equivalent experience.
• Minimum of 2 years of call center experience.
• Ability to navigate multiple software applications and screens simultaneously.
• Excellent attendance and reliability.
• Ability to work independently in a remote environment.

Responsibilities

• Handle 100% inbound customer service calls from health plan members.
• Manage approximately 50-70 calls per day during peak Open Enrollment periods.
• Assist members with questions related to benefits, billing, enrollment, eligibility, and coverage.
• Research and resolve complex member issues while maintaining ownership through resolution.
• Accurately document customer interactions and case details.
• Utilize multiple systems and online resources simultaneously to access and communicate information.
• Explain complex health plan information in a clear, professional, and easy-to-understand manner.
• Ensure timely and accurate follow-up on member inquiries.
• Deliver a high-quality member experience with empathy, professionalism, and attention to detail.
• Collaborate with teammates and internal departments to resolve member issues effectively.

Skills

Call center experience

Multi-system navigation

Reliability

Remote work

Education

High School Diploma, GED, or equivalent experience

Job description

TEKsystems is seeking Health Plan Specialists to support members with benefits, billing, enrollment, and coverage. This fully remote role handles inbound calls, aims for resolution, and delivers excellent member experiences with empathy and accuracy.

The position requires strong problem solving and independence within a remote work setup, with hours between 8:00 AM and 9:00 PM CST. Based in Madison, WI as a contract role, candidates must reside in eligible states and have prior call center