Remote Member Services Specialist - Health Plan Support

Sigma Systems, Inc.; Irving (TX); On-site; USD 32,000 - 42,000; Full time

Job summary

Sigma Inc. is seeking a Member Services Representative to provide high-quality, resolution-focused support to health plan members, providers, and brokers.

This on-site role in Irving, TX handles frontline inquiries about benefits, eligibility, and portals, with a strong emphasis on first-call resolution. You will document interactions in CRM, follow scripted workflows, and guide members through the CHR​ISTUS portals and websites.

Qualifications

• Strong verbal and written communication skills.
• Ability to multitask and manage time effectively in a fast-paced environment.
• Demonstrated attention to detail and accuracy in documentation.

Responsibilities

• Resolve member, provider, or broker inquiries using scripting and CRM navigation.
• Document call interactions in the CRM with clarity and resolution details.
• Explain core benefits and eligibility to members and assist with portal navigation.
• Redirect providers to approved electronic channels for eligibility and claims status.
• Maintain performance metrics including calls handled and handle time.

Skills

Verbal communication

Written communication

Attention to detail

Multitasking

Time management

Empathy

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Sigma Inc. is seeking a Member Services Representative to provide high-quality, resolution-focused support to health plan members, providers, and brokers.

This on-site role in Irving, TX handles frontline inquiries about benefits, eligibility, and portals, with a strong emphasis on first-call resolution. You will document interactions in CRM, follow scripted workflows, and guide members through the CHR​ISTUS portals and websites.