Member Services Representative

Peak Health

. Report to the Manager of Member and Provider Services .

Posted 11/2/2026full-timeRemote • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong customer service skills with a focus on effective communication and problem-solving in a call center environment. Proficient in managing multiple tasks while maintaining attention to detail and ensuring a positive member experience.

Highest-signal resume keywords

Customer Service ExperienceEffective Communication SkillsProblem-Solving AbilityAttention to DetailProficiency with Microsoft Office

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Customer ServiceProblem SolvingData EntryInformation VerificationTime Management

Soft Skills

Interpersonal SkillsTelephone EtiquetteOrganizationListening SkillsSelf-Motivation

Tools & Technologies

Microsoft Office Professional SuiteEPICInternet Explorer

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Call Center EnvironmentMedical Insurance ServicesMember CommunicationQuality StandardsProduction Standards

About the role

Key responsibilities & impact

Report to the Manager of Member and Provider Services
Take inbound calls from Peak Health members and answer questions ranging from general information to complex issues
Research and resolve member issues and questions with management and peers
Make outbound calls to members for issue resolution or to gather further information
Verify member information while addressing general questions
Respond to and resolve issues and inquiries to ensure an efficient member experience
Maintain open channels of member communication and conduct outreach as required
Meet production and quality standards and maintain work queues according to department standards
Communicate effectively with internal and external staff
Escalate issues to the next level of supervision when appropriate
Ensure accuracy of information gathered and shared on a member’s behalf
Attend required training classes and demonstrate proficiency and ability to learn
Maintain accurate documents, including timekeeping records
Perform other duties as assigned by the management team

Requirements

What you’ll need

High School diploma/GED
Two (2) years of customer service experience in a call center environment
Ability to take direction and navigate through multiple systems simultaneously
Excellent written and oral communication, customer service, interpersonal skills, and telephone etiquette
Ability to solve problems with predefined methods and guidelines
Familiarity with medical insurance services process
Exceptional attention to detail, organization, and ability to perform multiple tasks simultaneously
Ability to work remotely, including reliability, self-motivation, focus, and time management skills
Ability to communicate clearly, concisely, and articulately while being an astute listener
Ability to sit for extended periods and answer phone calls for extended periods
Ability to lift 10–25 lbs.
Travel requirement: 0%–25%
Proficiency with Microsoft Office Professional Suite (Outlook, Word, Excel, Access), Internet Explorer, and EPIC