Remote Member Services Representative; Wisconsin

Position: Remote Member Services Representative (Wisconsin Only)
Member Experience Representative (Remote - Wisconsin)

Pay: $18.25/hour

Location:

Remote (Wisconsin Residents Only)

Schedule:

Full-Time, Monday-Friday

Employment Type:

Contract-to-Hire

Remote Opportunity with Growth Potential

We are seeking customer-focused professionals to join our team as a Member Experience Representative. In this role, you will serve as the primary point of contact for members, providers, customers, and brokers, assisting with questions related to health insurance coverage, claims, benefits, billing, and authorizations.

This is an excellent opportunity for individuals with healthcare customer service, insurance, or call center experience who enjoy helping others and solving problems in a fast-paced environment.

Responsibilities:

+ Answer incoming calls and emails from members, providers, customers, and brokers.

+ Assist with questions regarding:

+ Health insurance coverage

+ Claims status

+ Benefit interpretation

+ Billing inquiries

+ Prior authorizations

+ Investigate and resolve member concerns while striving for first-call resolution.

+ Clearly explain healthcare and insurance information in an easy-to-understand manner.

+ Document all interactions accurately within company systems.

+ Research member issues and collaborate with internal departments to resolve concerns.

+ Escalate complex issues when appropriate.

+ Maintain confidentiality and protect sensitive member health information.

+ Meet quality, service, and productivity metrics.

Required Qualifications

+ Minimum of 2 years of healthcare customer service or call center experience

+ Experience working with:

+ Commercial insurance

+ Insurance verification

+ Explanation of Benefits (EOBs)

+ Prior authorizations

+ Strong customer service and problem-solving skills

+ Excellent verbal and written communication abilities

+ Ability to navigate multiple computer systems simultaneously

+ Intermediate Microsoft Office skills, including Outlook, Word, and Excel

+ Ability to work independently in a remote environment

Preferred Qualifications

+ Medicare experience

+ Health plan or health insurance experience

+ Previous call center experience

+ Knowledge of insurance concepts and terminology

Ideal Candidate

+ Thrives in a high-volume customer service environment

+ Demonstrates empathy and professionalism with every interaction

+ Has strong conflict resolution and de-escalation skills

+ Can multitask while using multiple screens and systems

+ Is highly organized, detail-oriented, and dependable

+ Enjoys learning and adapting to new processes and technologies

Training & Schedule

+ Training:
First 6-8 weeks

+ Monday-Friday

+ 8:00 AM - 4:30 PM CST

+ After Training:

+ Monday-Friday

+ 8:00 AM - 4:30 PM CST or

+ 8:30 AM - 5:00 PM CST

#central priority
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Job Type & Location

This is a Contract to Hire position based out of Menasha, WI.

Pay and Benefits

The pay range for this position is $18.25 - $18.25/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:  - Medical, dental & vision
- Critical Illness, Accident, and Hospital  - 401(k) Retirement Plan
- Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D 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)

Workplace Type

This is a fully remote position.

Final date to receive applications

This position is anticipated to close on Jul 15, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.

That's the power of true partnership. TEKsystems is an…