Health Plan Customer Service Representative Jobs

We are seeking customer-focused professionals to support members with health plan enrollment, benefits education, and account inquiries during a high-volume enrollment season. This role involves handling inbound calls, assisting members with plan selections and enrollment changes, resolving issues, and providing exceptional customer service while maintaining compliance and quality standards.

• Handle high-volume inbound calls regarding health plan enrollment and benefits.
• Educate members on medical, dental, vision, and supplemental benefit options.
• Assist with plan selections, enrollment changes, and qualifying life event requests.
• Verify member eligibility and enrollment status.
• Explain premiums, deductibles, copays, coinsurance, and out-of-pocket costs.
• Research and resolve enrollment-related inquiries and issues.
• Escalate complex cases as needed.
• Accurately document all customer interactions in CRM and enrollment systems.
• Maintain HIPAA compliance and adhere to company policies and procedures.
• Meet quality, productivity, and customer satisfaction metrics in a fast-paced environment.

• Minimum 1+ year of health plan enrollment, eligibility verification, or benefits administration.
• Experience with Epic preferred
• Knowledge of Medicare, grievance resolution, and service recovery.

• Comprehensive paid training program provided.
• Initial training requires full attendance during standard business hours.

• Monday through Friday with shifts scheduled during business and evening hours.
• Occasional weekend availability may be required based on business needs.
• Candidates must be flexible to work varying schedules.

This is a Contract position based out of San Diego, CA 92123.

The pay range for this position is $25.00 - $25.00/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)

This is a fully onsite position in San Diego,CA 92123.

This position is anticipated to close on Aug 21, 2026.

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.

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.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.