Training onsite at KCA Pearland Administrative Office; position transitions to remote/hybrid after successful training and performance completion. Schedule: Flexible availability between 8:00 AM-8:00 ...
Training onsite at KCA Pearland Administrative Office; position transitions to remote/hybrid after successful training and performance completion. Schedule: Flexible availability between 8:00 AM-8:00 ...
Training onsite at KCA Pearland Administrative Office; position transitions to remote/hybrid after successful training and performance completion. Schedule: Flexible availability between 8:00 AM-8:00 ...
Training onsite at KCA Pearland Administrative Office; position transitions to remote/hybrid after successful training and performance completion. Schedule: Flexible availability between 8:00 AM-8:00 ...
Training onsite at KCA Pearland Administrative Office; position transitions to remote/hybrid after successful training and performance completion. Schedule: Flexible availability between 8:00 AM-8:00 ...
Quick apply
Training onsite at KCA Pearland Administrative Office; position transitions to remote/hybrid after successful training and performance completion. Schedule: Flexible availability between 8:00 AM-8:00 ...
Remote Kca information
What is a Remote Kca?
What is the difference between Remote Kca vs Remote Customer Service Representative?
| Aspect | Remote Kca | Remote Customer Service Representative |
|---|---|---|
| Required Credentials | Customer service experience, communication skills | Customer service experience, communication skills |
| Work Environment | Home office, flexible hours | Home office, flexible hours |
| Industry Usage | Customer support, call centers | Customer support, call centers |
| Common Search Intent | Job roles, responsibilities, remote work | Job roles, responsibilities, remote work |
Remote Kca and Remote Customer Service Representative roles share similar credentials, work environments, and industry usage. Both involve providing customer support from home with flexible hours. The main difference lies in specific company terminology or job branding, but generally, they refer to similar customer support positions in the remote work sector.
How does working as a Remote Kca impact collaboration with team members and clients?
What are the key skills and qualifications needed to thrive as a Remote Kca?

Full-time
Medical
Posted 19 days ago
Job description
Description:
Job Title: Member Services Representative
Job Description:
Provides phone-based customer service support to health plan members by assisting with benefits, eligibility, claims, providers, pharmacy services, appeals, grievances, and general plan questions. Responsible for researching and resolving concerns, using de-escalation skills, documenting interactions, navigating multiple systems, and delivering excellent member service.
Key Responsibilities:
- Handle high-volume inbound member calls.
- Assist with benefit, claims, provider, pharmacy, appeal, and grievance inquiries.
- Resolve member concerns using empathy, problem-solving, and de-escalation skills.
- Document interactions accurately while maintaining HIPAA/PHI compliance.
- Navigate multiple systems and support AEP call volume.
Required Qualifications:
- Minimum 5 years of healthcare experience required, preferably in Medicare advantage plans, Health insurance, member services, claims, benefits, or customer service.
- Strong communication, multitasking, problem-solving, and de-escalation skills.
- Ability to protect confidential member information and navigate multiple systems.
- Ability to work independently in a remote environment after training.
Remote Requirements:
- Reliable high-speed wired internet (cable, fiber, or DSL); mobile hotspots and cellular 5G internet are not permitted.
- Basic technical skills to troubleshoot connectivity issues, set up equipment, and understand computer installation requirements.
- Ability to use dual monitors.
Work Location:
Training onsite at KCA Pearland Administrative Office; position transitions to remote/hybrid after successful training and performance completion.
Schedule:
Flexible availability between 8:00 AM–8:00 PM, 7 days a week, including possible weekend coverage during AEP.
#ZR
About AllMed Staffing
Sourced by ZipRecruiter
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
Chicago, IL, US
Year founded
1991