Member Service Representative

Location: Washington, DC (Remote)

Type: 3-Month Contract (W-2)

Compensation: $25/hour



Overview
We are seeking a Member Service Representatives to support a high-volume healthcare contact center during Open Enrollment season. In this role, you will assist members with benefits, claims, enrollment, billing inquiries, and general customer service needs while providing a positive customer experience.


This position requires strong communication skills, attention to detail, and the ability to navigate multiple systems while handling inbound calls. Successful candidates will be comfortable working in a fast-paced environment and maintaining confidentiality when handling sensitive member information.



Responsibilities
• Respond to inbound member inquiries regarding benefits, claims, enrollment, and billing
• Research and resolve customer issues while providing accurate information
• Document customer interactions and maintain detailed records
• Navigate multiple systems simultaneously while assisting members
• Escalate complex issues when appropriate
• Support enrollment and account-related transactions
• Provide professional and empathetic customer service
• Maintain productivity and quality standards in a contact center environment



Required Qualifications
• High School Diploma or GED
• Minimum 1 year of customer service experience
• 2-3 years of previous inbound call center experience
• Strong verbal and written communication skills
• Ability to work in a high-volume call center environment
• Experience using multiple computer systems simultaneously
• Strong computer proficiency with the ability to quickly learn and navigate multiple systems simultaneously, including Microsoft Office and customer service platforms
• Strong problem-solving and organizational skills
• Ability to work independently in a remote environment



Preferred Qualifications
• 2-5 years of inbound call center experience
• Healthcare or health insurance experience
• Claims processing experience
• Member services experience
• Enrollment or benefits administration experience
• Experience working in a quality or production-driven environment
• Experience working with healthcare or insurance platforms such as NICE, OnBase, FEPDirect, Advance Capture, or similar customer service systems.
• Exposure to medical terminology, healthcare services, or insurance products


System One, and its subsidiaries including Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.


System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.


#M-1


Ref: #851-Rockville-S1