Member Services Representative

This role is responsible for delivering high-quality member/customer support by addressing inquiries, resolving issues, and ensuring a positive service experience across areas such as enrollment, benefits, billing, and claims. The position requires strong communication, problem-solving, and organizational skills in a fast-paced, service-driven environment.

Key Responsibilities

• Provide personalized support via phone, electronic channels, or in person, resolving inquiries related to benefits, eligibility, claims, billing, and authorizations
• Accurately document all interactions and ensure proper follow-up and resolution
• Meet or exceed performance metrics for productivity, quality, and customer satisfaction
• Apply empathy and professionalism in all interactions, maintaining a customer-first approach
• Maintain knowledge of industry practices, systems, and regulatory requirements
• Collaborate with internal teams to address and resolve member needs efficiently
• Manage time effectively to handle a high volume of requests in a fast-paced environment
• Ensure confidentiality of sensitive information and compliance with company policies

Qualifications

• High school diploma or equivalent required; some college preferred
• 2+ years of customer service experience (call center, administrative, or similar environment preferred)
• Strong written and verbal communication skills
• Proficiency in computer systems, including Windows-based tools and standard office software
• Ability to navigate multiple systems, manage data, and maintain accuracy
• Strong problem-solving skills with the ability to work independently
• Preferred experience in health insurance, Medicare, or regulated industries

Additional Requirements

• Ability to work in a fast-paced environment while maintaining professionalism and efficiency
• Strong attention to detail and organizational skills
• Comfortable working in a remote or hybrid setting
• Ability to maintain a calm, professional, and service-oriented demeanor in all interactions

EEO Employer

Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at [email protected] or View phone number on click.appcast.io.

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.

Everforth Apex uses a virtual recruiter as part of the application process. Click here for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at

Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Everforth Apex team member can provide.

Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at [email protected] or View phone number on click.appcast.io. Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered.

UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex Systems.