{"schemaVersion":"jobsearcher.job.v1","id":"f5328e5f82db6113b83a27d2","url":"https://jobsearcher.com/jobs/f5328e5f82db6113b83a27d2","canonicalUrl":"https://jobsearcher.com/jobs/f5328e5f82db6113b83a27d2","title":"Member Services Representative","description":"Job Description: Member Services Representative\n\n*Location:* Akron/Canton Area, Ohio\n*Department:* Member Services – General\n*Contract Duration:* November 16, 2026 – December 31, 2026\n*Work Schedule:* Monday–Friday, 8:00 AM – 5:00 PM\n*Position Type:* Seasonal, Long-Term Assignment\n*Open Positions:* 6\n*Experience Required:* More than 2 years\n\nPosition Overview\n\nWe are seeking experienced and customer-focused *Member Services Representatives* to provide personalized assistance to health plan members. The ideal candidates will have a strong background in customer service, call-center operations, or administrative support, with experience in Medicare and/or health insurance strongly preferred.\n\nThis role involves responding to member inquiries, resolving concerns, explaining benefits and eligibility, documenting interactions, and coordinating with internal departments to ensure timely and accurate service.\n\n*Important Location Requirement:* Candidates must reside within the Akron/Canton, Ohio area to be considered.\n\nKey Responsibilities\n\n* Provide personalized customer service to members via telephone, electronic communication, and in-person interactions as required.\n* Respond to inquiries regarding enrollment, benefits, eligibility, billing, claims, and authorizations.\n* Investigate member concerns and complaints, identify appropriate solutions, and coordinate with relevant departments for resolution.\n* Accurately document all member interactions, inquiries, and complaints in the designated tracking systems.\n* Meet established departmental productivity, service quality, and communication standards.\n* Explain health insurance policies, procedures, and benefits clearly and professionally.\n* Demonstrate empathy, patience, and a customer-first approach while handling sensitive or complex inquiries.\n* Utilize computer systems and internal applications, including Amisys and Macess, as applicable.\n* Exercise sound judgment and problem-solving skills when interpreting procedures and addressing member concerns.\n* Maintain confidentiality of protected health information and other sensitive business information.\n* Comply with applicable regulatory requirements, organizational policies, and departmental procedures.\n* Manage time effectively and adapt to changing priorities in a fast-paced call-center environment.\n\nRequired Qualifications\n\n* High school diploma or GED required; college experience preferred.\n* More than *2 years of experience in customer service, call-center operations, administrative support, or similar responsibilities*.\n* Strong verbal and written communication skills.\n* Proficiency with Windows-based computer systems and standard office applications.\n* Good keyboarding, documentation, and multitasking skills.\n* Ability to operate computer systems, telephone equipment, headsets, and other standard office tools.\n* Excellent customer service, active listening, conflict resolution, and problem-solving abilities.\n* Professional telephone etiquette and the ability to communicate with empathy, confidence, and courtesy.\n* Ability to learn health insurance policies, procedures, and applicable regulations.\n* Strong organizational skills and the ability to meet productivity and quality targets.\n* Ability to maintain confidentiality and handle sensitive member information appropriately.\n\nPreferred Qualifications\n\n* Previous experience in *Medicare and/or health insurance is strongly preferred*.\n* Experience handling member benefits, enrollment, claims, billing, eligibility, or authorization inquiries.\n* Familiarity with health insurance customer service systems, particularly Amisys and Macess.\n* Previous experience in a high-volume call-center environment.\n\nWork Location and Training Requirements\n\n* Candidates *must live within the Akron/Canton, Ohio area*.\n* Initial orientation and training will be conducted *in person for approximately four weeks*.\n* Employees may be required to report to the office periodically throughout the contract.\n* Candidates must be comfortable working in an office-based training environment and a potentially remote work environment thereafter, subject to business requirements.\n* Flexibility to adjust work arrangements or hours to meet operational needs is required.\n\nPhysical Requirements\n\n* Ability to sit for prolonged periods.\n* Ability to bend, stoop, and stretch as needed.\n* Ability to lift up to 20 pounds.\n* Manual dexterity to operate computers, phones, and standard office equipment.\n\nOnboarding Requirements\n\nSelected candidates must complete the required onboarding and compliance process, including:\n\n* Updated resume and professional references.\n* Government-issued driver's license or state identification.\n* Education verification.\n* Background checks and applicable exclusion-list screenings.\n* Drug screening.\n* Required health documentation, including influenza vaccination documentation and annual TB questionnaire.\n\nImportant Submission Guidelines\n\n* *Local candidates only:* Applicants must reside within the Akron/Canton area.\n* *Experience:* More than 2 years of relevant experience is required.\n* *Healthcare background:* Medicare and/or health insurance experience is strongly preferred.\n* *Previous submissions:* Do not submit candidates who have already been submitted and rejected for previous orders.\n* *Availability:* Candidates should be available to begin on November 16, 2026, subject to onboarding requirements.\n\nHow to Apply\n\nInterested candidates should submit an updated resume highlighting relevant customer service, call-center, administrative support, and health insurance experience.\n\nCandidates with strong communication skills, a customer-focused attitude, and experience supporting health plan members are encouraged to apply.\n\nPay: $19.00 - $20.00 per hour\n\nExpected hours: 40.0 per week\n\nWork Location: In person","company":"Encode","rawCompany":"encode","city":"Akron","state":"OH","isRemote":false,"isActive":false,"createdAt":"2026-10-21T12:34:24.568Z","occupations":[{"code":"43-4051.00","title":"Customer Service Representatives","slug":"customer-service-representatives"},{"code":"29-2099.08","title":"Patient Representatives","slug":"patient-representatives"},{"code":"43-4171.00","title":"Receptionists and Information Clerks","slug":"receptionists-and-information-clerks"}],"industries":[{"code":"524114","title":"Direct Health and Medical Insurance Carriers","slug":"direct-health-and-medical-insurance-carriers"},{"code":"524298","title":"All Other Insurance Related Activities","slug":"all-other-insurance-related-activities"},{"code":"524292","title":"Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds","slug":"pharmacy-benefit-management-and-other-third-party-administration-of-insurance-and-pension-funds"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Member Services Representative","description":"Job Description: Member Services Representative\n\n*Location:* Akron/Canton Area, Ohio\n*Department:* Member Services – General\n*Contract Duration:* November 16, 2026 – December 31, 2026\n*Work Schedule:* Monday–Friday, 8:00 AM – 5:00 PM\n*Position Type:* Seasonal, Long-Term Assignment\n*Open Positions:* 6\n*Experience Required:* More than 2 years\n\nPosition Overview\n\nWe are seeking experienced and customer-focused *Member Services Representatives* to provide personalized assistance to health plan members. The ideal candidates will have a strong background in customer service, call-center operations, or administrative support, with experience in Medicare and/or health insurance strongly preferred.\n\nThis role involves responding to member inquiries, resolving concerns, explaining benefits and eligibility, documenting interactions, and coordinating with internal departments to ensure timely and accurate service.\n\n*Important Location Requirement:* Candidates must reside within the Akron/Canton, Ohio area to be considered.\n\nKey Responsibilities\n\n* Provide personalized customer service to members via telephone, electronic communication, and in-person interactions as required.\n* Respond to inquiries regarding enrollment, benefits, eligibility, billing, claims, and authorizations.\n* Investigate member concerns and complaints, identify appropriate solutions, and coordinate with relevant departments for resolution.\n* Accurately document all member interactions, inquiries, and complaints in the designated tracking systems.\n* Meet established departmental productivity, service quality, and communication standards.\n* Explain health insurance policies, procedures, and benefits clearly and professionally.\n* Demonstrate empathy, patience, and a customer-first approach while handling sensitive or complex inquiries.\n* Utilize computer systems and internal applications, including Amisys and Macess, as applicable.\n* Exercise sound judgment and problem-solving skills when interpreting procedures and addressing member concerns.\n* Maintain confidentiality of protected health information and other sensitive business information.\n* Comply with applicable regulatory requirements, organizational policies, and departmental procedures.\n* Manage time effectively and adapt to changing priorities in a fast-paced call-center environment.\n\nRequired Qualifications\n\n* High school diploma or GED required; college experience preferred.\n* More than *2 years of experience in customer service, call-center operations, administrative support, or similar responsibilities*.\n* Strong verbal and written communication skills.\n* Proficiency with Windows-based computer systems and standard office applications.\n* Good keyboarding, documentation, and multitasking skills.\n* Ability to operate computer systems, telephone equipment, headsets, and other standard office tools.\n* Excellent customer service, active listening, conflict resolution, and problem-solving abilities.\n* Professional telephone etiquette and the ability to communicate with empathy, confidence, and courtesy.\n* Ability to learn health insurance policies, procedures, and applicable regulations.\n* Strong organizational skills and the ability to meet productivity and quality targets.\n* Ability to maintain confidentiality and handle sensitive member information appropriately.\n\nPreferred Qualifications\n\n* Previous experience in *Medicare and/or health insurance is strongly preferred*.\n* Experience handling member benefits, enrollment, claims, billing, eligibility, or authorization inquiries.\n* Familiarity with health insurance customer service systems, particularly Amisys and Macess.\n* Previous experience in a high-volume call-center environment.\n\nWork Location and Training Requirements\n\n* Candidates *must live within the Akron/Canton, Ohio area*.\n* Initial orientation and training will be conducted *in person for approximately four weeks*.\n* Employees may be required to report to the office periodically throughout the contract.\n* Candidates must be comfortable working in an office-based training environment and a potentially remote work environment thereafter, subject to business requirements.\n* Flexibility to adjust work arrangements or hours to meet operational needs is required.\n\nPhysical Requirements\n\n* Ability to sit for prolonged periods.\n* Ability to bend, stoop, and stretch as needed.\n* Ability to lift up to 20 pounds.\n* Manual dexterity to operate computers, phones, and standard office equipment.\n\nOnboarding Requirements\n\nSelected candidates must complete the required onboarding and compliance process, including:\n\n* Updated resume and professional references.\n* Government-issued driver's license or state identification.\n* Education verification.\n* Background checks and applicable exclusion-list screenings.\n* Drug screening.\n* Required health documentation, including influenza vaccination documentation and annual TB questionnaire.\n\nImportant Submission Guidelines\n\n* *Local candidates only:* Applicants must reside within the Akron/Canton area.\n* *Experience:* More than 2 years of relevant experience is required.\n* *Healthcare background:* Medicare and/or health insurance experience is strongly preferred.\n* *Previous submissions:* Do not submit candidates who have already been submitted and rejected for previous orders.\n* *Availability:* Candidates should be available to begin on November 16, 2026, subject to onboarding requirements.\n\nHow to Apply\n\nInterested candidates should submit an updated resume highlighting relevant customer service, call-center, administrative support, and health insurance experience.\n\nCandidates with strong communication skills, a customer-focused attitude, and experience supporting health plan members are encouraged to apply.\n\nPay: $19.00 - $20.00 per hour\n\nExpected hours: 40.0 per week\n\nWork Location: In person","datePosted":"2026-10-21T12:34:24.568Z","dateModified":"2026-10-21T12:34:24.568Z","hiringOrganization":{"@type":"Organization","name":"Encode","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Akron","addressRegion":"OH","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"f5328e5f82db6113b83a27d2"},"url":"https://jobsearcher.com/jobs/f5328e5f82db6113b83a27d2"}}