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Medicare Member Services Representative

Akron, OH · On-site

$19/hr

If interested in this Medicare Member Services Representative position APPLY NOW for IMMEDIATE consideration MEDICARE MEMBER SERVICES REPRESENTATIVE | DETAILS AND COMPENSATION: * Location: Akron OH ...

Planet Fitness

Member Services Representative

Camden, SC · On-site

$10 - $10.50/hr

Free uniforms The Member Services Representative is responsible for creating a positive member experience by providing a superior level of customer service to Planet Fitness members, prospective ...

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How much do member services representative jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for member services representative in the United States is $15.91, according to ZipRecruiter salary data. Most workers in this role earn between $12.02 and $18.99 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Member Services Representative, and why are they important?

To thrive as a Member Services Representative, you need strong customer service skills, problem-solving abilities, and typically at least a high school diploma or equivalent. Familiarity with customer relationship management (CRM) software, basic office applications, and sometimes call center phone systems is often required. Outstanding communication, patience, and active listening are crucial soft skills for building positive member relationships. These skills ensure members receive timely, accurate assistance and foster long-term loyalty and satisfaction.

What does a Member Services Representative do?

A Member Services Representative is responsible for assisting customers or members with their inquiries, account management, and resolving issues related to products or services. They typically work in organizations such as credit unions, gyms, healthcare providers, or membership-based companies. Their main duties include answering questions, providing information, processing transactions, and ensuring a positive experience for members. Strong communication and problem-solving skills are essential for this role. They may also handle complaints, update member records, and promote additional services.

What Does a Member Services Representative Do?

A member services representative typically works in the member services department of a company and assists customers via phone, email, chat support, or in person. These professionals find employment in a variety of sectors, including financial services, retail, technology, and healthcare. As a member services representative, you answer questions about sales, orders, or memberships; address technical, service, or product issues; and provide solutions to customers efficiently and professionally. If you work as a health care representative, your duties may include answering questions about enrollment, claims, and referrals for medical care. For companies that have a ticketing system, you assign and update client requests and inquiries through this system. You may also be required to meet daily and monthly performance quotas and collaborate with coworkers to develop ways to improve department and customer experience.

What is the difference between Member Services Representative vs Customer Service Representative?

AspectMember Services RepresentativeCustomer Service Representative
CredentialsHigh school diploma; some roles may require certifications in insurance or healthcareHigh school diploma; customer service training often preferred
Work EnvironmentHealthcare, insurance, or membership organizationsRetail, call centers, various industries
Employer & Industry UsageInsurance companies, healthcare providers, membership organizationsRetail stores, telecom, service providers
Common Search & ComparisonYesYes

Member Services Representatives primarily work in healthcare, insurance, or membership organizations, focusing on assisting members with their accounts, benefits, and inquiries. Customer Service Representatives work across various industries, handling general customer inquiries and support. While both roles require strong communication skills, Member Services Representatives often need specific industry knowledge related to healthcare or insurance. The roles overlap in customer interaction and problem-solving, but their industry focus and specific responsibilities differ.

How does a Member Services Representative typically collaborate with other departments to resolve member issues?

Member Services Representatives often work closely with departments such as billing, technical support, and account management to address and resolve member concerns efficiently. When a member presents a complex issue, representatives coordinate with these teams to gather information, provide updates, and ensure a seamless resolution process. This cross-departmental collaboration not only helps in delivering excellent service but also provides opportunities to learn about different areas of the organization, which can be beneficial for career growth.
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Member Services Representative jobs near you
Infographic showing various Member Services Representative job openings in the United States as of May 2026, with employment types broken down into 68% Full Time, 31% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $33,096 per year, or $15.9 per hour.
Member Services Representative

Member Services Representative

SIHO Insurance Services

Indianapolis, IN • Remote

Other

Posted yesterday

Job description

Member Services Representative

Hot Job

Indianapolis- 8180 - Indianapolis, IN 46256

Overview

Travel Percentage No Travel Category Insurance

Description

Job Title: Member Services Representative Reports To: Manager, Member Services Locations: Indianapolis, IN Not open to remote candidates at this time

SIHO's Member Services Representatives assist in creating an excellent experience for SIHO's members and their providers. The primary responsibility of this position is to respond to member's and providers inquiries. This position mainly responds to telephonic inquiries but may also be responsible for responding to written inquiries and assisting walk-in members. This is a non-exempt position reporting to the Manager of Member Services.

Brief Description of Duties:

  • Assist members with navigating their healthcare needs by explaining benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
  • Comply with regulatory requirements while addressing customer needs which may include complex benefit questions.
  • Record details of inquiries, comments, complaints, and transactions.
  • Escalate unresolved and pending customer grievances.
  • Support teammates as business needs require to ensure the organization is meeting the needs of our members and providers
  • Strive for first call resolution while demonstrating SIHO's dedication to proactively work to resolve members questions and concerns.
  • Work with partners in other departments, or to Doctors' offices to help resolve a customer concern.
  • Support your teammates as business needs require to ensure we are meeting the needs of our customers.
  • Performs other relevant duties deemed necessary to achieve department and company-wide goals.

Traits we are looking for:

  • Trustworthy
  • Empathic
  • Proactive
  • Compassionate
  • Good Listener
  • Problem Solver
  • Communicator
  • Patient
  • Personable & Collaborative

Minimum Skills Requirement:

  • Possess a passion for customer service
  • Excellent communications (oral and written) and strong listening skills
  • Experience in healthcare is preferred, but not required
  • General knowledge and understanding of health insurance
  • This job calls for strong emotional intelligence to proactively provide solutions, ensuring the member's health and safety
  • Ability to maintain attendance to support required quality and quantity of work

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