Health Plan Enrollment CSR

We are seeking customer-focused professionals to support members with health plan enrollment, benefits education, and account inquiries during a high-volume enrollment season.

Responsibilities

• Handle high-volume inbound calls regarding health plan enrollment and benefits.
• Educate members on medical, dental, vision, and supplemental benefit options.
• Assist with plan selections, enrollment changes, and qualifying life event requests.
• Verify member eligibility and enrollment status.
• Explain premiums, deductibles, copays, coinsurance, and out-of-pocket costs.
• Research and resolve enrollment-related inquiries and issues.
• Escalate complex cases as needed.
• Accurately document all customer interactions in CRM and enrollment systems.
• Maintain HIPAA compliance and adhere to company policies and procedures.
• Meet quality, productivity, and customer satisfaction metrics in a fast-paced environment.

Requirements

• Minimum 1+ year of health plan enrollment, eligibility verification, or benefits administration.
• Experience with Epic preferred.
• Knowledge of Medicare, grievance resolution, and service recovery.

Training

• Comprehensive paid training program provided.
• Initial training requires full attendance during standard business hours.

Schedule

• Monday through Friday with shifts scheduled during business and evening hours.
• Occasional weekend availability may be required based on business needs.
• Candidates must be flexible to work varying schedules.

Pay

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

Benefits

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)

About the role

• This is a Contract position based out of San Diego, CA 92123.
• This is a fully onsite position in San Diego, CA 92123.

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.