New

Healthcare Customer Service Representative

TEKsystems
$20.00 / hr
life insurance, sick time, 401(k), retirement plan, remote work
United States, Wisconsin, Madison
Oct 04, 2025
We are seeking a Customer Service Representative I to assist members with benefit questions, claims, and coverage inquiries. This role is ideal for someone who thrives in a fast-paced, service-oriented environment and is passionate about helping others navigate their health insurance needs. Key Details: * Eligible States for Remote Work: WI, MI, VA, NC, SC, GA, FL, MS, LA, AR, MO, IA, IN, OH, ND, SD, NE, KS, OK, MT, WY, ID, UT, or NV. * Schedule: Training: Monday-Friday, 8:00 AM - 4:30 PM CT * Post-training: Variable shifts between 8:00 AM - 9:00 PM CT, Monday-Friday, with potential weekend shifts * Internet Requirement: Reliable high-speed internet is required for remote candidates. Key Responsibilities: * Respond to member inquiries regarding benefits, coverage, premiums, and claims via phone. * Assist with provider referrals and coordinate care outside the SHP service area. * Support members with CMS and ACA compliance, including financial and subsidy updates. * Document all interactions accurately in internal systems. * Troubleshoot portal and secure email access issues. * Guide members through complaint and grievance processes. * Participate in ongoing coaching and training to meet performance and compliance standards. * May assist with Medicare Advantage plan changes using CMS-approved scripts. Qualifications: * High School Diploma or equivalent * 2+ years of customer service experience * 1+ year in a health insurance call center environment Why Join Us? * Opportunity for contract-to-hire based on performance and business needs * Flexible work arrangements * Supportive team environment with ongoing training and development * Make a meaningful impact by helping members access the care they need Ready to make a difference? Apply today and help us deliver compassionate, accurate, and timely service to our members. Pay and Benefits The pay range for this position is $20.00 - $20.00/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 remote position. Application Deadline This position is anticipated to close on Oct 17, 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.