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Health Plan Specialist – Commercial
TEKsystems. Handle 100% inbound customer service calls from health plan members .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong customer service skills by effectively managing inbound calls, resolving member concerns, and providing accurate information on benefits and coverage. Proficient in navigating multiple systems and maintaining a professional workspace in a remote environment.
Highest-signal resume keywords
Call Center ExperienceCustomer Service SkillsProblem ResolutionMulti-System NavigationRemote Work Capability
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Benefits AssistanceBilling SupportEnrollment ManagementCoverage QuestionsDocumentation Accuracy
Soft Skills
Compassionate CommunicationTeam CollaborationProfessionalism
Tools & Technologies
Online ResourcesVirtual Meeting Platforms
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Health Plan MembersInbound Customer ServiceMember ExperienceCall Management
About the role
Key responsibilities & impact- Handle 100% inbound customer service calls from health plan members
- Manage approximately 50–70 calls per day during peak enrollment periods
- Assist members with benefits, billing, enrollment, and coverage questions
- Research and resolve complex member concerns from start to finish
- Document all interactions accurately and thoroughly
- Utilize multiple applications and online resources simultaneously
- Provide timely follow-up and ownership of member issues
- Deliver compassionate, professional customer service
- Collaborate with team members to ensure a positive member experience
- Participate in virtual meetings and training sessions
Requirements
What you’ll need- High School Diploma, GED, or equivalent work experience
- Minimum of 2 years of call center experience
- Ability to navigate multiple systems and screens simultaneously
- Reliable attendance history
- Ability to work independently in a remote environment
- Hard-wired internet connection via Ethernet cable
- Dedicated professional workspace free from distractions
- Ability to be on camera during meetings and training
- Willingness to use company-provided equipment
- Availability Monday-Friday between 8:00 AM and 8:00 PM CST and Saturday between 9:00 AM and 3:00 PM CST
- Preference for candidates open to later shifts
- Must live in an eligible state: Arkansas, Arizona, Florida, Georgia, Iowa, Illinois, Kansas, Kentucky, Michigan, Minnesota, Missouri, North Dakota, Nebraska, Oklahoma, South Dakota, Tennessee, Virginia, or Wisconsin
Benefits
Comp & perks- 100% Remote Work
- Company-provided equipment, including headset, dual monitors, and additional equipment as provided
- Opportunity to gain experience in health insurance
- Growth opportunities within the healthcare industry
- Supportive team culture
- Medical, dental & vision
- Critical Illness, Accident, and Hospital coverage
- 401(k) Retirement Plan with pre-tax and Roth post-tax contributions
- Voluntary Life & AD&D insurance 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)