Member Services Representative

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Job Description # Member Services Representative
* Provide personalized service to members via phone, email, or in person regarding enrollment, benefits, billing, claims, eligibility, and authorization inquiries.
* Accurately document all member interactions, inquiries, and complaints in the tracking system and route items appropriately for follow‐up.
* Consistently meet or exceed departmental productivity, accuracy, and quality standards.
* Demonstrate a customer‐first mindset with empathy, active listening, and professional communication.
* Maintain working knowledge of health insurance guidelines, regulations, and internal systems.
* Use independent judgment and problem‐solving skills to resolve issues and interpret procedures.
* Maintain confidentiality of all member and business information in compliance with company and regulatory standards.
* Effectively manage time and workload in a high‐volume, fast‐paced call‐center environment.
* A call center environment
* Administrative support
* Medicare or health insurance-related roles
* Strong verbal and written communication skills.
* Knowledge of customer service best practices and phone system operations.
* Proficiency with Windows systems, basic software applications, and electronic documentation workflows.
* Ability to maintain a warm, empathetic, service‐oriented demeanor when interacting with members.
* Skilled in using standard office equipment, keyboarding, Wi‐Fi/VPN, and audio tools.
* Ability to quickly learn and apply health insurance policies, procedures, and regulatory requirements.
* Strong organizational and time management abilities.
* Ability to adapt to changing business needs, including remote or hybrid work environments.
* Commitment to maintaining confidentiality and complying with all regulatory standards**.
*** Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package.

Our commitment to excellence is reflected in many awards, including Clearly Rated's Best of Staffing(R) in Talent Satisfaction in the United States and Great Place to Work(R) in the United Kingdom and Mexico. Apex uses a virtual recruiter as part of the application process. Click
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