Member Services Specialist

Member Services Specialist

Location: Irving, TX 75039 | Onsite

COMPENSATION & SCHEDULE

• $18–$19.50/hour based on experience

• Monday–Friday, 8:00 AM – 5:00 PM

• W2

• Start Date: March 3, 2026

ROLE IMPACT

The Member Services Specialist supports members of a healthcare organization by delivering accurate, courteous, and prompt responses to inquiries regarding insurance, benefits, and claims. Success in this role means improving member satisfaction, reducing resolution times, and providing seamless service across communication channels.

KEY RESPONSIBILITIES

• Respond to member inquiries via phone, email, and chat regarding claims, coverage, and benefits

• Explain insurance plans, procedures, and healthcare navigation processes clearly and accurately

• Document all interactions and resolutions in the CRM system

• Resolve complaints and escalations promptly to meet service level standards

• Coordinate with internal teams to ensure effective issue resolution

MINIMUM QUALIFICATIONS

• High School Diploma or equivalent

• 1–2 years of customer service experience in a healthcare or call center setting

• Minimum one year of tenure at all previous roles

• Must reside within 30 miles of Irving, TX

CORE TOOLS & SYSTEMS

• CRM systems

• Microsoft Office Suite

• Telephony and chat platforms

• Document management systems

PREFERRED SKILLS

• Bilingual (English/Spanish)

• Familiarity with health insurance terms and claims processes

• Prior experience supporting multiple business lines

APPLICATION PROCESS INCLUDES

• In-person interview

• Background check (criminal, education, employment)

• Drug screen

• Clerical testing

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