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Healthcare Customer Service Representative
TEKsystems. Handle 50–70 inbound calls per day 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 handling inquiries related to healthcare coverage, premiums, and benefits while maintaining accurate records. Proficient in navigating multiple systems and adhering to compliance requirements in a high-volume call center environment.
Highest-signal resume keywords
Customer Service ExperienceHealthcare KnowledgeCall Center ExperienceCritical ThinkingCommunication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
DocumentationProblem-SolvingAttention to DetailOrganizational SkillsMulti-Application Navigation
Soft Skills
EmpathyProfessionalismPositive Attitude
Industry Keywords
MedicareMedicaidHealth InsuranceMember ServicesCompliance Requirements
About the role
Key responsibilities & impact- Handle 50–70 inbound calls per day from health plan members
- Assist members with coverage, premiums, deductibles, copayments, provider networks, billing, and benefit-related questions
- Research and resolve customer inquiries while ensuring accurate and timely service
- Document member interactions and maintain accurate records in company systems
- Provide professional, empathetic, and solution-oriented customer support
- Navigate multiple systems while efficiently managing customer conversations
- Follow established policies, procedures, and compliance requirements
- Escalate complex issues when appropriate
- Meet quality, productivity, and customer service expectations
- Support members enrolled in Medicare, Medicaid, and Marketplace healthcare programs
Requirements
What you’ll need- Previous customer service experience required
- Strong verbal and written communication skills
- Excellent critical thinking and problem-solving abilities
- Ability to remain professional and positive in a high-volume environment
- Strong attention to detail and organizational skills
- Comfortable working with multiple computer applications simultaneously
- Ability to work independently in a remote environment
- Candidates must reside in Minnesota and be able to report onsite if needed
- Call center experience preferred
- Healthcare, insurance, or member services experience preferred
- Experience handling high-volume phone interactions preferred
- Familiarity with Medicare, Medicaid, or health insurance terminology preferred
Benefits
Comp & perks- 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)