Customer Care 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.

Skills

call center, healthcare, inbound call center, open enrollment, Customer service

Top Skills Details

call center,healthcare,inbound call center,open enrollment

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 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 KPI’s o Sharp has strict KPI’s the workers must meet to stay in compliance with their position • 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 • TalkDesk – preferred Start date: September 11th – 13 spots Assignment Length: • 13 weeks but would want them to be available through Jan/Feb> possibly hire (6months-1year) Looking for candidates who are looking for a career – not temporary work • Looking for Local SD candidates Training Schedule: • Phase 1 of training: 6 weeks and on site (Spectrum) • Phase 2 of training: 1-2 weeks; on site (Tech Way) - they will be on the phone • Needs to be able to come to Spectrum for training (830-5pm) DAILY • Training will be held at (8695 Spectrum Center BLVD San Diego) 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 • Work on-site at: 8520 Tech Way San Diego

Experience Level

Intermediate Level

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.

Application Deadline

This position is anticipated to close on Aug 25, 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 identity, genetic information or any characteristic protected by law.