Job Information
TEKsystems Member Experience Representative in Brookfield, Wisconsin
Member Experience Representative - Remote (MUST LIVE IN WI)
Contract-to-Hire
Pay Rate: $18.25/hour
Location: Remote within Wisconsin
Position Overview
The Member Experience Representative is responsible for answering phone and email inquiries from members, providers, customers, or brokers regarding coverage, claim status, benefits, billing, and prior authorizations. This role focuses on delivering excellent customer service while striving for first call resolution.
Key Responsibilities
Respond to incoming phone and email inquiries regarding:
Coverage
Claim status
Benefit interpretation
Billing
Prior authorizations
Translate healthcare and insurance terminology into clear, easy‑to‑understand communication.
Ask appropriate probing questions during calls to ensure accurate resolution.
Document all interactions and follow‑up actions accurately in the system.
Adhere to response timeframes, department metrics, and contractual standards.
Follow up with internal departments or external resources to resolve outstanding issues.
Escalate complex or unresolved issues to the appropriate supervisor or team.
Apply all applicable organizational, regulatory, and compliance policies.
Maintain strict confidentiality and protect personal health information (PHI).
Required Qualifications
2+ years of healthcare customer service or call center experience
Experience working with:
Commercial insurance
Insurance verification
Explanation of Benefits (EOB)
Prior authorizations
Strong oral and written communication skills
Ability to work independently and as part of a team
Strong conflict management and de-escalation skills
Ability to adapt quickly in a fast-paced environment
Strong organizational and multitasking skills
Intermediate proficiency in Microsoft Outlook, Excel, and Word
Preferred / Nice-to-Have Skills
Call center experience
Dental insurance knowledge
Additional experience with insurance verification and prior authorization
Functional Skills
Ability to manage a high volume of calls or emails
Comfort navigating multiple computer systems simultaneously
Ability to educate members across multiple lines of business
Effective use of dual monitors and computer-based resources
Training & Schedule
- Monday–Friday, 8:00 AM – 4:30 PM CST
#centralpriority26
Job Type & Location
This is a Contract to Hire position based out of Brookfield, WI.
Pay and Benefits
The pay range for this position is $18.25 - $18.25/hr.
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 remote position.
Application Deadline
This position is anticipated to close on May 1, 2026.
h4>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.
About TEKsystems and TEKsystems Global Services
We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.