Member Services Representative

Member Support Representative

This role is responsible for delivering high-quality member/customer support by addressing inquiries, resolving issues, and ensuring a positive service experience across areas such as enrollment, benefits, billing, and claims. The position requires strong communication, problem-solving, and organizational skills in a fast-paced, service-driven environment.

• Provide personalized support via phone, electronic channels, or in person, resolving inquiries related to benefits, eligibility, claims, billing, and authorizations
• Accurately document all interactions and ensure proper follow-up and resolution
• Meet or exceed performance metrics for productivity, quality, and customer satisfaction
• Apply empathy and professionalism in all interactions, maintaining a customer-first approach
• Maintain knowledge of industry practices, systems, and regulatory requirements
• Collaborate with internal teams to address and resolve member needs efficiently
• Manage time effectively to handle a high volume of requests in a fast-paced environment
• Ensure confidentiality of sensitive information and compliance with company policies

• High school diploma or equivalent required; some college preferred
• 2+ years of customer service experience (call center, administrative, or similar environment preferred)
• Strong written and verbal communication skills
• Proficiency in computer systems, including Windows-based tools and standard office software
• Ability to navigate multiple systems, manage data, and maintain accuracy
• Strong problem-solving skills with the ability to work independently
• Preferred experience in health insurance, Medicare, or regulated industries

• Ability to work in a fast-paced environment while maintaining professionalism and efficiency
• Strong attention to detail and organizational skills
• Comfortable working in a remote or hybrid setting
• Ability to maintain a calm, professional, and service-oriented demeanor in all interactions

EEO Employer

Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law.

Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.