Member Experience Representative (Remote โ€“ Wisconsin)

TEKsystems

Contractor Information and Record Clerks
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Location
Menasha, Wisconsin, United States
Posted
July 05, 2026

Job Description

About the Role

We are seeking a detail-oriented and customer-focused Member Experience Representative to join our team. In this role, you will serve as the primary point of contact for members, providers, and brokersโ€”handling inquiries related to benefits, claims, billing, and authorizations.

This is an excellent opportunity for someone with healthcare call center experience who thrives in a fast-paced environment and is passionate about delivering exceptional customer service.

Key Responsibilities

  • Answer inbound calls and respond to email inquiries regarding:Coverage and benefitsClaims status and billing questionsPrior authorizations and insurance verification
  • Translate complex healthcare and insurance terminology into clear, easy-to-understand information
  • Document detailed interactions and follow-up steps in internal systems
  • Perform insurance verification and review EOBs (Expla...