Member Services Representative Location:

Akron/Canton Area, Ohio Department:

Member Services

•

General Contract Duration:

November 16, 2026

•December 31, 2026

Work Schedule:

Monday-Friday, 8:00 AM

•5:00

PM Position Type:

Seasonal, Long-Term Assignment Open Positions:

6

Experience Required:

More than 2 years Position Overview We are seeking experienced and customer-focused Member Services Representatives to provide personalized assistance to health plan members. The ideal candidates will have a strong background in customer service, call-center operations, or administrative support, with experience in Medicare and/or health insurance strongly preferred. This role involves responding to member inquiries, resolving concerns, explaining benefits and eligibility, documenting interactions, and coordinating with internal departments to ensure timely and accurate service.

Important Location Requirement:

Candidates must reside within the Akron/Canton, Ohio area to be considered. Key Responsibilities Provide personalized customer service to members via telephone, electronic communication, and in-person interactions as required. Respond to inquiries regarding enrollment, benefits, eligibility, billing, claims, and authorizations. Investigate member concerns and complaints, identify appropriate solutions, and coordinate with relevant departments for resolution. Accurately document all member interactions, inquiries, and complaints in the designated tracking systems. Meet established departmental productivity, service quality, and communication standards. Explain health insurance policies, procedures, and benefits clearly and professionally. Demonstrate empathy, patience, and a customer-first approach while handling sensitive or complex inquiries. Utilize computer systems and internal applications, including Amisys and Macess, as applicable. Exercise sound judgment and problem-solving skills when interpreting procedures and addressing member concerns. Maintain confidentiality of protected health information and other sensitive business information. Comply with applicable regulatory requirements, organizational policies, and departmental procedures. Manage time effectively and adapt to changing priorities in a fast-paced call-center environment. Required Qualifications High school diploma or GED required; college experience preferred. More than 2 years of experience in customer service, call-center operations, administrative support, or similar responsibilities . Strong verbal and written communication skills. Proficiency with Windows-based computer systems and standard office applications. Good keyboarding, documentation, and multitasking skills. Ability to operate computer systems, telephone equipment, headsets, and other standard office tools. Excellent customer service, active listening, conflict resolution, and problem-solving abilities. Professional telephone etiquette and the ability to communicate with empathy, confidence, and courtesy. Ability to learn health insurance policies, procedures, and applicable regulations. Strong organizational skills and the ability to meet productivity and quality targets. Ability to maintain confidentiality and handle sensitive member information appropriately. Preferred Qualifications Previous experience in Medicare and/or health insurance is strongly preferred . Experience handling member benefits, enrollment, claims, billing, eligibility, or authorization inquiries. Familiarity with health insurance customer service systems, particularly Amisys and Macess. Previous experience in a high-volume call-center environment. Work Location and Training Requirements Candidates must live within the Akron/Canton, Ohio area . Initial orientation and training will be conducted in person for approximately four weeks . Employees may be required to report to the office periodically throughout the contract. Candidates must be comfortable working in an office-based training environment and a potentially remote work environment thereafter, subject to business requirements. Flexibility to adjust work arrangements or hours to meet operational needs is required. Physical Requirements Ability to sit for prolonged periods. Ability to bend, stoop, and stretch as needed. Ability to lift up to 20 pounds. Manual dexterity to operate computers, phones, and standard office equipment. Onboarding Requirements Selected candidates must complete the required onboarding and compliance process, including: Updated resume and professional references. Government-issued driver's license or state identification. Education verification. Background checks and applicable exclusion-list screenings. Drug screening. Required health documentation, including influenza vaccination documentation and annual TB questionnaire. Important Submission Guidelines Local candidates only: Applicants must reside within the Akron/Canton area.

Experience:

More than 2 years of relevant experience is required.

Healthcare background:

Medicare and/or health insurance experience is strongly preferred.

Previous submissions:

Do not submit candidates who have already been submitted and rejected for previous orders.

Availability:

Candidates should be available to begin on November 16, 2026, subject to onboarding requirements. How to Apply Interested candidates should submit an updated resume highlighting relevant customer service, call-center, administrative support, and health insurance experience. Candidates with strong communication skills, a customer-focused attitude, and experience supporting health plan members are encouraged to apply.

Pay:

$19.00

•$20.00 per hour Expected hours: 40.0 per week

Work Location:

In person