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- Tasks: Help Medicare Advantage members with inquiries about coverage, claims, and benefits.
- Company: Join TEKsystems, a leader in technology services, partnering with top clients globally.
- Benefits: Enjoy medical, dental, vision, 401(k), and more perks like transportation benefits.
- Why this job: Make a real impact by advocating for members in a supportive, fast-paced environment.
- Qualifications: Previous call centre experience preferred; empathy and strong communication skills are essential.
- Other info: This is an onsite role in Salem, OR, with flexible hours during open enrollment.
Job Description
The Medicare Advantage Customer Service Representative plays a vital role in delivering exceptional service to Medicare Advantage members. This position requires a compassionate, detail-oriented individual who can effectively resolve inquiries related to coverage, claims, and benefits. Operating in a high-volume call center environment, the representative must demonstrate professionalism, empathy, and efficiency while advocating for members and ensuring their concerns are addressed promptly and accurately.
Key Responsibilities:
- Provide outstanding customer service to all Medicare Advantage members via phone and other communication channels.
- Respond to inquiries regarding coverage, claims, and policy provisions with clarity and accuracy.
- Interpret and explain benefits and policy details across all Medicare Advantage products.
- Conduct thorough research and follow-up to ensure timely and effective resolution of member issues.
- Maintain a courteous and professional demeanor in a fast-paced, high-volume call center environment.
- Investigate and triage complex customer concerns, escalating when necessary to ensure member satisfaction.
- Advocate for members by clearly explaining benefits and resolving issues with empathy and patience.
Qualifications:
- Previous experience in a call center environment with an understanding of performance metrics and expectations.
- Strong computer literacy and ability to navigate multiple systems simultaneously.
- Excellent phone etiquette and a professional, courteous communication style.
- Proven ability to resolve customer service issues efficiently and effectively.
- High level of empathy and emotional intelligence; ability to connect with members and understand their needs.
- Prior experience in the healthcare or insurance industry is preferred.
- High school diploma or equivalent required; additional education or certifications in healthcare or customer service are a plus.
Shift: M-F, Must be available until 8pm during open enrollment months (October- March)
Pay and Benefits
The pay range for this position is $19.00 – $19.00/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 onsite position in Salem,OR.
Application Deadline
This position is anticipated to close on Jul 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.
Healthcare Customer Service Representative (Hiring Immediately) employer: Rac
Contact Detail:
Rac Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Healthcare Customer Service Representative (Hiring Immediately)
✨Tip Number 1
Familiarise yourself with Medicare Advantage plans and their benefits. Understanding the specifics of coverage, claims, and policy provisions will help you answer questions confidently during interviews.
✨Tip Number 2
Practice your phone etiquette and communication skills. Since this role involves a lot of phone interactions, being able to convey empathy and professionalism over the phone is crucial.
✨Tip Number 3
Prepare for situational questions that assess your problem-solving abilities. Think of examples from past experiences where you successfully resolved customer issues, especially in a high-pressure environment.
✨Tip Number 4
Showcase your emotional intelligence during the interview. Be ready to discuss how you connect with customers and understand their needs, as this is key to advocating for members effectively.
We think you need these skills to ace Healthcare Customer Service Representative (Hiring Immediately)
Some tips for your application 🫡
Understand the Role: Before applying, make sure you fully understand the responsibilities of a Healthcare Customer Service Representative. Familiarise yourself with Medicare Advantage products and the common inquiries members may have.
Tailor Your CV: Highlight relevant experience in customer service, especially in call centre environments. Emphasise your ability to handle high-volume calls and your understanding of healthcare or insurance industries.
Craft a Compelling Cover Letter: Write a cover letter that showcases your empathy and communication skills. Mention specific examples of how you've resolved customer issues in the past and your commitment to providing excellent service.
Proofread Your Application: Before submitting, carefully proofread your CV and cover letter for any spelling or grammatical errors. A polished application reflects your attention to detail, which is crucial for this role.
How to prepare for a job interview at Rac
✨Show Empathy
As a Healthcare Customer Service Representative, demonstrating empathy is crucial. Prepare to share examples of how you've handled difficult customer interactions in the past, focusing on your ability to understand and address their concerns with compassion.
✨Know Your Medicare Basics
Familiarise yourself with the basics of Medicare Advantage plans, including coverage, claims, and benefits. This knowledge will help you answer questions confidently and show that you're prepared for the role.
✨Practice Active Listening
During the interview, practice active listening by summarising what the interviewer says and asking clarifying questions. This skill is essential in a call centre environment where understanding customer needs is key.
✨Demonstrate Problem-Solving Skills
Be ready to discuss specific instances where you've successfully resolved customer issues. Highlight your research methods and follow-up strategies to ensure member satisfaction, as this aligns with the job's responsibilities.
