Call Center Customer Service Representative

Description

Handle high-volume inbound calls regarding health plan enrollment and benefits.

Educate members on available medical, dental, vision, and supplemental benefit options.

Assist with plan selection, enrollment changes, and qualifying life event requests.

Verify member eligibility and enrollment status.

Explain premiums, deductibles, copays, coinsurance, and out-of-pocket costs.

Troubleshoot enrollment issues and escalate complex cases as needed.

Accurately document all customer interactions in CRM and enrollment systems.

Maintain compliance with HIPAA and company policies.

Meet quality, productivity, and customer satisfaction metrics during peak enrollment periods.

Additional

Skills & Qualifications

Experience:

Call Center Experience Required

o Min of 6-month recent call center experience

o More experience in health call centers - the better

- high school diploma required

o Looking for candidates who have long term assignments, not short stints.

Knowledge of current matters relating to health maintenance organizations, performance management, and customer satisfaction assessment and delivery.

Basic computer and writing skills

Have worked in an environment that requires them to meet KPIs

Understanding HIPPA compliance, Medicare, service recovery, fast-paced environment, experience with handling grievance cases

Experience in taking between 60-80 calls a day

Epic Experience preferred

Investigatory skills researching and looking into inquiries

Talk Desk preferred

Training

Schedule:

Phase 1 of training: 6 weeks and on site

Phase 2 of training: 1-2 weeks; on site - they will be on the phone

Needs to be able to come to for training (830-5pm) DAILY

Work Schedule:

M-F 8a-6pm

1130-8pm and possible weekends

Candidates need to be flexible to work all schedules to help with business need

#westpriortity
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Job Type & Location

This is a Contract position based out of San Diego, CA.

Pay and Benefits

The pay range for this position is $25.00 - $25.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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 onsite position in San Diego,CA.

Final date to receive applications

This position is anticipated to close on Oct 10, 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 Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender…