<p>Robert Half is looking for Customer Service Representatives to support members in the health insurance space from Las Vegas. This contract opportunity with permanent potential is ideal for someone who can deliver thoughtful, accurate service in a fast-paced call center environment while handling complex benefit, eligibility, and claims-related questions. The person in this role will serve as a trusted point of contact for members, helping resolve concerns with professionalism, empathy, and close attention to detail.</p><p><br></p><p>Responsibilities:</p><p>• Address advanced member issues and de-escalate complaints by identifying concerns, investigating details, and guiding each case toward resolution.</p><p>• Support claims-related requests by reviewing information, answering questions, and assisting with issue resolution in accordance with established procedures.</p><p>• Partner with the benefits enrollment team to clarify eligibility, work hours, and member premium questions, and provide timely follow-up when additional action is needed.</p><p>• Communicate with members in a calm, respectful manner, using active listening to understand needs and present practical next steps.</p><p>• Evaluate unusual or complicated service matters by applying sound judgment, research skills, and problem-solving ability.</p><p>• Stay informed on health plan offerings, member benefits, and service guidelines to provide dependable and accurate information.</p><p>• Record conversations, actions taken, and outcomes thoroughly in the appropriate system to support service continuity and compliance.</p><p>• Handle sensitive member data in line with privacy standards, regulatory expectations, and internal policies.</p>
<p>Robert Half is looking for several bilingual Member Services Representatives to support health insurance members through clear, compassionate, and knowledgeable service. This contract to permanent opportunity is ideal for someone who thrives in a fast-paced call center environment and can confidently assist with claims, eligibility, and benefit-related questions in both English and Spanish. The person in this role will help members navigate complex concerns while ensuring each interaction is handled accurately, professionally, and in compliance with privacy and regulatory standards.</p><p><br></p><p>Responsibilities:</p><p>• Respond to escalated member questions and service concerns, working to resolve issues thoroughly and professionally.</p><p>• Support claims-related inquiries and processing activities, including reviewing details and helping members understand next steps.</p><p>• Partner with the benefits enrollment team to address questions involving eligibility, worked hours, and co-premium matters, with timely follow-up as needed.</p><p>• Provide service in English and Spanish, using active listening and empathy to guide members through sensitive or complex situations.</p><p>• Investigate non-routine problems, evaluate available information, and determine appropriate solutions for unique member cases.</p><p>• Maintain up-to-date knowledge of health plan offerings, coverage guidelines, and service policies to deliver accurate information.</p><p>• Record member conversations, research findings, and final resolutions in the appropriate systems with a high level of detail and accuracy.</p><p>• Protect confidential information and follow applicable regulations, company procedures, and compliance standards during every interaction.</p>