Member Services Representative — Health Plan Support
Employment type
Full-time
Work setting
On-site
Location
Irving, TX
Schedule
Day shift
Posted
You'll be redirected to the employer's application page.
Job overview
The Member Services Representative — Health Plan Support is an onsite role in Irving, TX. Compensation is not specified. Sigma Systems is recruiting for work with a health plan, supporting members, providers, and brokers across multiple lines of business. The representative provides resolution-focused assistance, explains benefits and eligibility, and helps callers navigate coverage and services. The role emphasizes first-contact resolution, accurate CRM documentation, and clear guidance on health plan processes.
What you'll do
- Resolve inquiries from members, providers, and brokers across the Health Exchange, US Family Health Plan, and NCHD
- provide basic Medicare Advantage eligibility and benefits information
- document interactions and resolutions in the CRM
- explain benefits and eligibility using handbook-aligned language
- guide members through the health plan website and member portal
- direct providers to approved electronic channels for eligibility and claims status
- advocate for beneficiaries
- meet call and schedule-adherence expectations
- and support assigned projects. The posting states Monday–Friday, 8 a.m.–5 p.m., with scheduled overtime possible during high-volume periods and remote work possible on scheduled work-from-home days or during building closures.
What we're looking for
- Skills & competencies
- member services representativehealth plan supportirving txsigma systemsfull-timeonsitemonday–friday8 a.m.–5 p.m.member inquiriesprovider supportcrm documentationbenefits and eligibilityhipaahigh school diploma or ged
- Work arrangement
- Weekend coverage required
Why this role
Requires a high school diploma or GED and two years of customer service experience in healthcare, insurance, or a call center environment. The posting includes progressive training and skill assessments.
About the employer
Sigma Systems, Inc. is hiring for this role. Industry: Telemarketing Bureaus and Other Contact Centers. Sector: 56.
Additional details
- Industry sector
- 56
- Industry
- Telemarketing Bureaus and Other Contact Centers
- Occupation code
- 43-4051.00
You'll be redirected to the employer's application page.
Listing ID: 9659ec69-a861-4526-8e7b-fa730b7c9b02