Health Plan Specialist – Open Enrollment

TEKsystems

. Handle 100% inbound customer service calls regarding health plan benefits, billing, enrollment, and coverage questions .

Posted 10/6/2026contractRemote • United StatesMid-LevelSenior💰 $21 - $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in inbound customer service, effectively managing health plan inquiries and resolving complex member issues with empathy and professionalism. Proficient in utilizing online tools and maintaining accurate documentation while navigating multiple systems.

Highest-signal resume keywords

Inbound Customer ServiceProblem-Solving SkillsHealth Insurance ExperienceCall Center ExperienceMedicaid Experience

ATS Keywords

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Applicant Tracking System Keywords

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

Soft Skills

EmpathyAttention to DetailProfessionalism

Tools & Technologies

Dual MonitorsHeadsetOnline Tools

Industry Keywords

Health Plan BenefitsBillingEnrollmentCoverage QuestionsOpen EnrollmentCustomer ConcernsMember Issues

About the role

Key responsibilities & impact

Handle 100% inbound customer service calls regarding health plan benefits, billing, enrollment, and coverage questions
Manage approximately 50-70 calls per day during peak Open Enrollment periods
Research and resolve complex member issues from start to finish
Maintain ownership of customer concerns through complete resolution
Document interactions accurately and thoroughly
Utilize online tools and resources to efficiently support members
Deliver exceptional customer service with empathy, professionalism, and attention to detail

Requirements

What you’ll need

Candidates must reside in one of the following states: Arkansas, Arizona, Florida, Georgia, Iowa, Illinois, Kansas, Kentucky, Michigan, Minnesota, Missouri, North Dakota, Nebraska, Oklahoma, South Dakota, Tennessee, Virginia, or Wisconsin
Reliable hard-wired internet access via Ethernet cable
Stable high-speed internet; no Wi-Fi, hotspot, or satellite connections
Comfortable appearing on camera during training and meetings
Professional, distraction-free home office environment
Must utilize all company-provided equipment, including dual monitors and a headset
Call center experience preferred
Health insurance experience preferred
Medicaid experience preferred
Strong problem-solving and customer service skills
Ability to navigate multiple systems while on calls
Flexible availability Monday-Friday between 8:00 AM and 9:00 PM CST

Benefits

Comp & perks

Benefits available
Fully remote work environment
Opportunity for permanent employment
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)
Company-provided equipment, including dual monitors and a headset
Consistent Monday-Friday schedule
Supportive team environment