Member Services Specialist

SGS_JOB_3003

Admin/Clerical
 Texas
Customer Service
member service
insurance
claims
healthcare

Contract - 3 months + (Possibilities of Contract Extension)

Location (mandatory): Irving, TX 75039 The Member Services Specialist will play a crucial role in ensuring our members' highest level of customer satisfaction. The Specialist will be responsible for providing exceptional customer service and resolving inquiries, concerns, and complaints professionally and on time. The primary focus will be on assisting members with their healthcare-related needs, including but not limited to insurance inquiries, benefit explanations, and general account information. Within the Member Services Specialist team, this entry role provides an opportunity for growth and development within our organization

Job Responsibilities:

  • Meets expectations of the applicable Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Respond to inbound calls, emails, and member chat messages regarding healthcare-related questions and concerns.
  • Adhere to established service level agreements (SLAs) and quality standards to consistently deliver excellent customer service about insurance benefits, claims, coverage, and other related inquiries. Assist members in navigating the healthcare system and understanding their rights and responsibilities.
  • Investigate and resolve member complaints, issues, and escalations promptly and satisfactorily. Document all customer interactions and issue resolutions accurately and comprehensively in the CRM system.
  • Collaborate with internal departments to facilitate issue resolution and ensure a seamless customer experience.
  • Explain insurance plans, policies, and procedures to members, ensuring they understand their benefits and coverage clearly.
  • Provide guidance on accessing healthcare services, locating in-network providers, and understanding pre-authorization requirements.
  • Continuously enhance product knowledge and stay updated on industry trends and changes.
  • Identify process improvement opportunities and provide recommendations to enhance the overall member experience.
  • Proactively contribute to the development and implementation of customer service best practices.
  • Collaborate with team members and management to improve operational efficiency and streamline workflows and customer satisfaction.
  • Support USFHP, HIX, and NCHD LOB as needed. Participate in training sessions and professional development activities to enhance knowledge and skills.

Skills:

  • Customer Service
  • Member service
  • Insurance
  • Claims
  • Healthcare  

Education/Experience:

  • A High School diploma or equivalent is required. 0 -2 years of customer service experience is preferred. Work Type: Full Time

Related Jobs

Customer Service Representative III

Admin/Clerical
 Florida
12 months

Location (mandatory): Sarasota, FL 34243 The Utility Service Temporary Support role provides administrative and operational assistance to the utility services team. This position supports daily service operations through accurate data entry, scheduling, invoicing, and documentation. The ideal candidate is detail-oriented, organized, and works well in a team-focused environment.

Data Entry Accuracy
Billing & Invoicing
SAP or ERP System Knowledge
Documentation Review & Compliance
Scheduling & Calendar Management
Record Keeping & File Management
Computer Skills
MS Excel
and MS Word

Entry Level Planner Assistant

Admin/Clerical
 California
$29-$35
2+ Years

Location: San Diego, CA 92102 The Planner Assistant will support the Project Specialists Express Team by assisting with administrative and coordination tasks related to service orders and project activities. Project Specialists receive service orders and are responsible for providing turnaround timelines to customers, submitting permit documentation, and performing various administrative tasks related to project coordination. The Planner Assistant will work closely with Project Specialists to ensure documentation, service orders, and administrative processes are completed accurately and on time. Strong communication and organizational skills are essential for success in this role. The ideal candidate should demonstrate strong time management abilities, adaptability, and the capability to work independently in a fast-paced environment. Candidates with entry-level administrative, clerical, or dispatching experience are encouraged to apply. Previous experience working with Microsoft Office tools, particularly Excel and Word, is preferred. Candidates from a variety of industries are welcome as long as they possess strong administrative and coordination capabilities

Microsoft Excel
Microsoft Word
Time Management

Processing SpecialistSpecialist

Admin/Clerical
Remote
6 Months

Small Description: The Processing Specialist manages insurance documentation for financial institution clients to protect homeowners coverage accuracy and timeliness. This role ensures policies are reviewed, classified, and processed according to defined procedures and quality expectations. Responsibilities include coordinating with agents and carriers, issuing escrow premium payments, and meeting strict deadlines. Success requires strong attention to detail, sound judgment, and dependable time management. The position supports client commitments through professional communication, issue escalation, and seamless workflow handoffs, contributing to reliable insurance protection, operational efficiency, and consistently high client and homeowner satisfaction throughout daily high-volume processing operations across regulated financial services environments organizations consistently.

Accuracy
Detail
Communication
Judgment
Adaptability
Teamwork
Productivity
Compliance

Customer Service Representative I

Admin/Clerical
Remote
1 Year (Temp to hire)

Small Description: A Customer Service Representative will be responsible for answering incoming calls and emails from customers, assisting with order inquiries or issues, processing returns or exchanges, updating customer account information, and escalating more complex issues to the appropriate department if needed.

Inbound/Outbound Calling
Phone Etiquette
Communication
Empathy
Problem-solving
Adaptability

Operations Excellence Analyst

Admin/Clerical
 Texas
3 Months

Location (mandatory): Irving TX The Operational Excellence Analyst is a data-driven professional responsible for managing KPI reporting dashboards and production performance analysis to support operational stability and continuous improvement initiatives across operations teams. This role builds and maintains Excel-based dashboards analyzes performance trends and identifies process gaps using KPI data. The analyst collaborates with operations quality and stakeholders to translate complex production data into clear insights support problem identification and drive corrective actions and process improvements while ensuring reporting accuracy consistency and effective decision making through reliable operational metrics and structured data analysis practices across production reporting environments and operational performance management activities.

Excel
Analytics
Reporting
Dashboards
KPIs
Visualization
Investigation
Optimization

Administrative Sales Support Specialist

Admin/Clerical
Remote
06 months

Looking for a sales support specialist to provide support to sales team

order entry
quotes
CRM

Administrative Assistant – Data Entry & Customer Service

Admin/Clerical
 Massachusetts
3 Years

Location (mandatory): Lexington, MA Provides administrative support to ensure efficient operation of the office. Supports managers and employees through a variety of tasks related to organization and communication. Responsible for confidential and time sensitive material. Familiar with a variety of the field's concepts, practices and procedures. Ability to effectively communicate via phone and email ensuring that all Administrative Assistant duties are completed accurately and delivered with high quality and in a timely manner. Answers and directs phone calls. Organizes and schedules meetings and appointments. Maintains contact lists. Produces and distributes correspondence memos, letters, faxes and forms. Assists in the preparation of regularly scheduled reports. Develops and maintains a filing system. Books travel arrangements. Submits and reconciles expense reports. Provides general support to visitors. Provides information by answering questions and requests. Takes dictation. Researches and creates presentations. Generates reports. Handles multiple projects. Prepares and monitors invoices. Develops administrative staff by providing information, educational opportunities and experiential growth opportunities. Ensures operation of equipment by completing preventive maintenance requirements; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. Maintains supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies.

Customer Service
Data Entry

Video Surveillance Operator I

Admin/Clerical
 Nevada
6 Months

Location (mandatory): Las Vegas, NV The Surveillance Operator is a desk-based, onsite security monitoring role responsible for reviewing live video feeds, identifying potential threats, and taking immediate action such as issuing real-time audio warnings or contacting law enforcement/property representatives. Operators monitor multiple sites nationwide using proprietary software and work in a fast-paced, multi-screen environment. This role is not related to casino surveillance and is not located on the Las Vegas Strip.

CCTV
Video Surveillance

Verification Specialist

Admin/Clerical
 Ohio
1 Year (With the possibility of extension)

Location (mandatory): Springfield OH USA 45505 This role will be responsible for reviewing insurance document images and entering missing information into a database quickly and accurately. This is a repetitive, computer-based data entry position.

Typing skills/Data Entry
Attention to detail
Data Entry
Office Environment experience
logo

At SGS Consulting, we go beyond resume-job matches, creating meaningful connections and pathways for individuals to thrive in defining careers.


© 2026 All rights reserved.
logologologologo