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Remote Member Service Representative Jobs in Ontario

SIHO HOLDING INC

This position is based in Columbus, IN and is not eligible for remote work or relocation ... MTA Member Services SIHO's Member Services Representatives assist in creating an excellent ...

SIHO HOLDING INC

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 ...

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Remote Member Service Representative information

What is a remote member service representative?

A Remote Member Service Representative is a customer support professional who assists members of an organization, such as a credit union, insurance company, or healthcare provider, from a remote location—usually from home. Their primary duties include answering member inquiries, resolving concerns, processing requests, and providing information about products or services via phone, email, or chat. This role requires strong communication skills, problem-solving abilities, and proficiency with digital tools to effectively serve members without in-person interaction.

How does a remote member service representative effectively collaborate with team members and supervisors while working from home?

Remote Member Service Representatives typically use a variety of digital communication tools, such as video calls, instant messaging, and collaborative platforms, to stay connected with their team and supervisors. Regular virtual meetings and check-ins help ensure that everyone is aligned on goals and any challenges can be addressed promptly. Additionally, clear documentation and timely updates are essential for smooth collaboration, as they help maintain transparency and accountability within the team. Most organizations also provide ongoing support and training to help remote representatives feel engaged and supported in their roles.

What are the key skills and qualifications needed to thrive as a remote member service representative, and why are they important?

To thrive as a Remote Member Service Representative, you need strong customer service skills, attention to detail, and typically a high school diploma or equivalent. Familiarity with CRM software, call center systems, and secure communication platforms is often required. Outstanding verbal communication, active listening, and problem-solving abilities are crucial soft skills for success in this role. These skills ensure efficient issue resolution, member satisfaction, and effective service delivery in a remote environment.

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

AspectRemote Member Service RepresentativeRemote Customer Service Representative
CredentialsHigh school diploma or equivalent; some roles may require industry-specific certificationsHigh school diploma or equivalent; generally no specialized certifications needed
Work EnvironmentCall centers, financial institutions, healthcare organizationsRetail, tech companies, service providers
Industry UsageFinancial services, healthcare, insuranceRetail, tech, hospitality
Common Search/ComparisonYesYes

The Remote Member Service Representative typically works in financial or healthcare sectors, focusing on member or patient interactions, often requiring industry-specific knowledge. The Remote Customer Service Representative has a broader scope across various industries, handling general customer inquiries. While both roles involve remote communication and customer support, the Member Service role is more specialized in serving members or clients within specific industries.

What are the most commonly searched types of Member Service Representative jobs in Ontario?

The most popular types of Member Service Representative jobs in Ontario are:

What are popular job titles related to Remote Member Service Representative jobs in Ontario?

For Remote Member Service Representative jobs in Ontario, the most frequently searched job titles are:

What job categories do people searching Remote Member Service Representative jobs in Ontario look for?

The top searched job categories for Remote Member Service Representative jobs in Ontario are:

What cities in Ontario are hiring for Remote Member Service Representative jobs?

Cities in Ontario with the most Remote Member Service Representative job openings:

Remote Member Service Representative jobs near you
Infographic showing various Remote Member Service Representative job openings in Ontario as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 24% Part Time, and 2% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution.

Medicare Advantage Member Service Representative

SIHO HOLDING INC

On-site, Remote

Full-time, Other

Posted 24 days ago

Job description

Job Title: Medicare Advantage Member Services Representative 
Reports To: Manager, MytruAdvantage Customer Service

Our Vision
SIHO Insurance Services will be the premier healthcare delivery system administration company, known and respected for its Insurance high quality people, innovative products and outstanding services.

Location Requirement: This position is based in Columbus, IN and is not eligible for remote work or relocation. Candidates must reside in or be willing to commute to Columbus.

MTA Member Services

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.

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

Schedule & Work Environment:

  • Full-time position with hybrid work arrangement (3 days in office, 2 days remote)

  • Annual schedule divided into two seasons:

Peak Season (October 1 - March 31)

  • Team coverage required 7 days/week, 8am-9pm

  • Available shifts: 8am-5pm, 9am-6pm, 12pm-9pm (remote), and 10am-7pm as needed

  • Weekend requirement: Minimum 2 weekends per month (remote shifts 12pm-9pm or 10am-7pm)

  • Schedules provided one month in advance with consideration for employee preferences

Off-Peak Season (April 1 - September 30)

  • Monday-Friday coverage between 8am-9pm

  • Available shifts: 8am-5pm, 9am-6pm, or 12pm-9pm (remote)

  • Must work one late shift per week (either 9am-6pm or 12pm-9pm)

Minimum Skills Requirement:

  • Possess a passion for customer service

  • Excellent communications (oral and written) and strong listening skills

  • General knowledge and understanding of health insurance

  • Knowledge of Medicare Advantage is preferred, but not required

  • 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

  • Professional appearance and presence

  • Commitment to support and maintain confidentiality in conformance to HIPAA guidelines

Required Education:

  • High School Diploma and 2 years of Customer service experience

  • Working experience of Microsoft Office or other comparable software

Note: This position supports Medicare Advantage/MyTruAdvantage products, requiring weekend availability during peak season to ensure continuous member support.

*All positions are subject to change based on the needs of the business

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