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Member Services Representative

Work from home Full-time role Hiring

Member Experience Representative (Remote - Wisconsin) Pay: $18.25/hour Location: Remote (Wisconsin Residents Only) Schedule: Full-Time, Monday-Friday Employment Type: Contract-to-Hire Remote Opportunity with Growth Potential We are seeking customer-focused professionals to join reputed company as a Member Experience Representative. In this role, you will serve as the primary reputed company of contact for members, providers, customers, and brokers, assisting with questions reputed company to health insurance coverage, claims, benefits, billing, and authorizations. This is an excellent opportunity for individuals with reputed company customer service, insurance, or call center experience who enjoy helping others and solving problems in a fast-paced environment. Responsibilities: Answer incoming calls and emails from members, providers, customers, and brokers. Assist with questions regarding:Health insurance coverage Claims status Benefit interpretation Billing inquiries Prior authorizations Investigate and resolve member concerns while striving for reputed company resolution. reputed company explain reputed company and insurance information in an easy-to-understand manner. Document reputed company interactions accurately reputed company company systems. Research member issues and collaborate with internal departments to resolve concerns. Escalate reputed company issues reputed company appropriate. Maintain confidentiality and protect sensitive member health information. Meet quality, service, and productivity metrics.

Required Qualifications

Minimum of 2 years of reputed company customer service or call center experience Experience working with:reputed company insurance Insurance verification Explanation of Benefits (EOBs) Prior authorizations Strong customer service and problem-solving skills Excellent verbal and written communication abilities Ability to navigate multiple computer systems simultaneously Intermediate reputed company Office skills, including Outlook, Word, and reputed company Ability to work independently in a remote environment

Preferred Qualifications

Medicare experience Health plan or health insurance experience Previous call center experience Knowledge of insurance concepts and terminology Ideal Candidate Thrives in a high-volume customer service environment Demonstrates reputed company and professionalism with every interaction Has strong conflict resolution and de-escalation skills Can multitask while using multiple screens and systems Is highly organized, detail-oriented, and dependable Enjoys learning and adapting to new processes and technologies Training & Schedule Training: First 6-8 weeksMonday-Friday 8:00 AM - 4:30 PM CST After Training:Monday-Friday 8:00 AM - 4:30 PM CST or 8:30 AM - 5:00 PM CST #centralpriority26 Job Type & LocationThis is a Contract to Hire position based out of Menasha, WI. Pay and BenefitsThe pay reputed company for this position is $18.25 - $18.25/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 & reputed company
  • 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 TypeThis is a fully remote position. Application DeadlineThis position is anticipated to reputed company on Jul 14, 2026. About reputed company We're partners in transformation. We help clients activate reputed company 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 reputed company America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and reputed company-world application, we work with reputed company leaders to drive change. That's the power of true partnership. reputed company is an Allegis Group company. The company is an equal opportunity employer and will consider reputed company applications without regards to race, sex, age, reputed company, religion, national reputed company, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About reputed company and reputed company 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 reputed company of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across reputed company 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 reputed company of technology. We’re building reputed company by delivering business reputed company and making positive impacts in our global communities. reputed company and reputed company Global Services are Allegis Group companies. Learn more at reputed company.com. The company is an equal opportunity employer and will consider reputed company applications without regard to race, sex, age, reputed company, religion, national reputed company, 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 reputed company positions located in the reputed company, we will consider for employment reputed company 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 reputed company 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 reputed company are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools. Apply To This Job

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