Customer Care Representative

Description

Handle high-volume inbound calls regarding health plan enrollment and benefits.

Educate members on available medical, dental, vision, and supplemental benefit options.

Assist with plan selection, enrollment changes, and qualifying life event requests.

Verify member eligibility and enrollment status.

Explain premiums, deductibles, copays, coinsurance, and out-of-pocket costs.

Troubleshoot enrollment issues and escalate complex cases as needed.

Accurately document all customer interactions in CRM and enrollment systems.

Maintain compliance with HIPAA and company policies.

Meet quality, productivity, and customer satisfaction metrics during peak enrollment periods.

Skills

call center, healthcare, inbound call center, open enrollment, Customer service

Top Skills Details

call center,healthcare,inbound call center,open enrollment

Additional Skills & Qualifications

Experience:

Call Center Experience Required

o Min of 6-month recent call center experience

o More experience in health call centers - the better

- high school diploma required

o Looking for candidates who have long term assignments, not short stints.

Knowledge of current matters relating to health maintenance organizations, performance management, and customer satisfaction assessment and delivery.

Basic computer and writing skills

Have worked in an environment that requires them to meet KPIs

o Sharp has strict KPIs the workers must meet to stay in compliance with their position

Understanding HIPPA compliance, Medicare, service recovery, fast-paced environment, experience with handling grievance cases

Experience in taking between 60-80 calls a day

Epic Experience preferred

Investigatory skills researching and looking into inquiries

TalkDesk preferred

Work Schedule:

M-F 8a-6pm

1130am-8pm and possible weekends

Candidates need to be flexible to work all schedules to help with business need

Experience Level

Expert Level

This is a Contract position based out of San Diego, CA.

The pay range for this position is $25.00 - $25.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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)

This is a fully onsite position in San Diego,CA.

This position is anticipated to close on Sep 30, 2026.

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

Were 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. Were 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. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were 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.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.