Member Services Representative / Healthcare Customer Service Representative Position Summary We are seeking a customer-focused Member Services Representative to provide exceptional support to health plan members. This role serves as the primary point of contact for members, assisting with inquiries related to benefits, eligibility, claims, provider networks, and healthcare coverage. The ideal candidate will possess strong communication skills, healthcare customer service experience, and the ability to navigate multiple systems while maintaining compliance with HIPAA regulations. Key Responsibilities Answer high-volume incoming calls from health plan members in a detail oriented and courteous manner. Provide accurate information regarding benefits, eligibility, claims status, provider networks, and healthcare coverage. Assist members in resolving issues, escalating concerns when appropriate, and ensuring timely follow-up. Explain plan policies, procedures, and available healthcare services in a clear and understandable manner. Document all member interactions accurately within CRM and related systems. Research and resolve member inquiries while maintaining established service levels. Collaborate with internal departments, providers, and claims teams to facilitate issue resolution. Maintain compliance with HIPAA regulations, company policies, and confidentiality requirements. Deliver exceptional customer service while demonstrating patience, empathy, and professionalism. Perform data entry and administrative duties related to member account updates and case documentation. Key Skills Customer Service Inbound Call Center Healthcare Support Insurance Verification Claims Inquiry Resolution Benefits & Eligibility CRM Systems Data Entry HIPAA Compliance Problem Solving Communication Skills Attention to Detail Member Relations Multitasking
<p>We are looking for a bilingual Spanish/English Customer Service Representative to support members in a fast-paced healthcare environment in Westminster, California. This is a Contract position focused on delivering responsive service, explaining health plan information clearly, and helping callers resolve concerns with professionalism and empathy. The ideal candidate brings prior call center or customer support experience, strong communication skills, and the ability to navigate member questions while following healthcare guidelines and internal procedures.</p><p><br></p><p>Responsibilities:</p><p>• Respond to inbound member inquiries and evaluate each situation to provide accurate, timely, and appropriate assistance.</p><p>• Explain coverage details, benefit options, and plan-related information to members, family members, providers, and caregivers in a clear and helpful manner.</p><p>• Investigate service concerns by identifying root causes, outlining next steps, and ensuring members receive thorough follow-up until issues are addressed.</p><p>• Route complex or sensitive matters to leadership or the appropriate internal teams when additional review or action is needed.</p><p>• Support outbound outreach efforts and assigned calling campaigns designed to strengthen member engagement and retention.</p><p>• Record conversations, actions taken, and required forms accurately in designated systems while maintaining departmental documentation standards.</p><p>• Adhere to established workflows, job aids, and service procedures, while sharing process improvement ideas and reporting operational concerns through proper channels.</p><p>• Participate in team meetings, training sessions, and ongoing coaching to maintain service quality and support continuous improvement.</p><p>• Follow all applicable federal and state healthcare regulations, as well as company policies, in daily member service activities.</p><p>• Perform additional customer service and administrative tasks as needed to support department operations.</p>
We are looking for a Customer Service Representative to support daily service coordination and customer communication for a busy team in Orange, California. This Long-term Contract position is ideal for someone who is organized, responsive, and comfortable handling a high volume of service-related requests while keeping records accurate and up to date. The role will serve as a key point of contact for customers, technicians, and internal partners to help ensure appointments, documentation, and follow-up activities move forward smoothly.<br><br>Responsibilities:<br>• Arrange service appointments for inspections, repairs, maintenance visits, and installations while aligning availability with customer needs and technician schedules.<br>• Communicate with customers by phone and email to confirm requests, provide appointment updates, share estimated arrival times, and address scheduling adjustments.<br>• Prepare, revise, and maintain work orders, service records, and related customer information with a high level of accuracy.<br>• Assist with dispatch coordination by tracking technician assignments throughout the day and helping respond to schedule changes as they arise.<br>• Enter service details, customer data, and status updates into company systems and databases in a timely manner.<br>• Process and organize service-related paperwork, including contracts, reports, invoices, and supporting documentation.<br>• Work closely with service managers, field technicians, and customers to help keep jobs on schedule and ensure timely completion.<br>• Monitor outstanding service requests, follow up on unresolved items, and help close gaps in customer support needs.<br>• Provide general administrative support such as filing, reporting, and business correspondence while maintaining well-organized records.
We are looking for a Customer Service Representative to support resident communications for a real estate and property organization in Tustin, California. This is a Contract position with an initial 90-day assignment and potential for extension, offering a hybrid schedule with remote work on Monday and Friday and onsite work Tuesday through Thursday. In this role, you will serve as a key point of contact for residents, helping resolve service-related questions and account concerns while delivering a thoughtful and detail-oriented customer experience.<br><br>Responsibilities:<br>• Manage a high volume of incoming and outgoing resident calls related to maintenance needs, account questions, and general service requests.<br>• Respond to resident concerns with patience and care, working to resolve issues accurately and within expected timeframes.<br>• Document conversations, service requests, complaints, and follow-up actions in internal records with strong attention to detail.<br>• Partner with cross-functional teams to gather information, coordinate next steps, and help bring resident matters to resolution.<br>• Provide clear guidance on available services, policies, and support options so residents receive accurate and helpful information.<br>• Conduct timely follow-up communication to confirm that resident questions have been addressed and that solutions meet expectations.<br>• Learn and use multiple software applications to enter data, update records, and manage daily service interactions efficiently.<br>• Build positive relationships with residents and colleagues by maintaining a courteous, empathetic, and solutions-focused approach throughout each interaction.
We are looking for a Customer Service Representative to support members with pharmacy benefit questions and service needs in Westminster, California. This is a Contract position within the healthcare industry, focused on delivering clear, timely, and detail-oriented assistance through high-volume phone-based interactions. The ideal candidate brings strong call center experience, attention to detail, and a commitment to helping members navigate coverage, refills, and related service requests.<br><br>Responsibilities:<br>• Respond to inbound member and prospective member inquiries related to pharmacy benefits, providing accurate and easy-to-understand information.<br>• Coordinate refill support with participating pharmacy partners when members need assistance completing the process.<br>• Escalate clinical questions or medication-related concerns to appropriate clinical leadership for further review.<br>• Collaborate with internal teams focused on medication adherence initiatives to help improve member engagement and outcomes.<br>• Take part in outbound and follow-up calling campaigns assigned by leadership to support member service objectives.<br>• Record interactions thoroughly in designated systems, including actions taken, required forms, and relevant follow-up details.<br>• Adhere to established policies, job aids, and workflow procedures while identifying process issues and suggesting practical improvements.<br>• Participate in team meetings, training sessions, and ongoing coaching to strengthen service quality and operational performance.<br>• Maintain compliance with applicable federal and state regulations as well as company standards governing health plan operations.<br>• Support additional service-related tasks and special assignments as needed by the department.
<p>We are seeking a professional and customer-focused Bilingual Spanish Customer Service Representative to support clients and customers in both English and Spanish. The ideal candidate will have strong communication skills, a service-oriented mindset, and the ability to manage inquiries, resolve issues, and provide a positive customer experience in a fast-paced environment.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Respond to customer inquiries by phone, email, and chat in both English and Spanish.</li><li>Provide accurate information regarding products, services, orders, and account details.</li><li>Resolve customer concerns and escalate complex issues when appropriate.</li><li>Document customer interactions, updates, and resolutions in internal systems.</li><li>Maintain a high level of professionalism and customer service in every interaction.</li><li>Collaborate with internal teams to ensure timely and effective problem resolution.</li><li>Support additional administrative or service-related tasks as needed.</li></ul><p><br></p>
We are looking for a Customer Service Representative to support member enrollment operations for a healthcare organization. This Long-term Contract position focuses on delivering responsive service, reviewing enrollment information for accuracy, and helping ensure members are added to the plan efficiently and correctly. The ideal candidate is organized, accurate, and comfortable communicating with both customers and internal teams while managing high-volume data and service requests.<br><br>Responsibilities:<br>• Handle incoming questions from members, applicants, clients, and internal departments by phone, email, and tracking systems, providing timely and accurate support.<br>• Review enrollment submissions for completeness, enter application details into internal databases, and update eligibility records with a high level of accuracy.<br>• Process member enrollments, disenrollments, and eligibility changes while following established procedures and service standards.<br>• Contact applicants or related parties to obtain missing details, clarify discrepancies, and confirm current enrollment status when needed.<br>• Investigate rejected transactions or enrollment errors, identify root causes, and take corrective action to move records forward.<br>• Partner with colleagues across operations and support teams to resolve exceptions and ensure member accounts are properly established.<br>• Maintain organized documentation and accurate records within enrollment and eligibility systems for audit readiness and ongoing reference.<br>• Perform routine file balancing and reconciliation activities on daily and monthly schedules to confirm data integrity across systems.<br>• Compare entered information against source documents to verify accuracy and reduce processing issues or downstream claim impacts.
<p>A growing professional services company is seeking a <strong>Customer Service Representative</strong> to join its client support team. This position is less of a traditional call-center role and more focused on building relationships, managing client requests, coordinating internally, and making sure customers receive timely answers. You’ll be the person clients can count on when they need help — whether that means answering a question, coordinating with another department, researching an issue, or simply following up when you said you would.</p><p><strong>Responsibilities:</strong></p><ul><li>Serve as a primary point of contact for assigned customers</li><li>Respond to phone and email inquiries</li><li>Research customer questions and provide accurate answers</li><li>Track requests from beginning to resolution</li><li>Coordinate with internal departments to resolve issues</li><li>Schedule appointments, services, or follow-up calls as needed</li><li>Maintain detailed customer records</li><li>Update CRM information and account notes</li><li>Process service requests and account changes</li><li>Prepare correspondence and customer documentation</li><li>Monitor outstanding requests and proactively follow up</li><li>Escalate complex issues to the appropriate team member</li><li>Identify opportunities to improve the customer experience</li><li>Assist with general administrative projects</li></ul>
<p>A well-established North County manufacturer is looking for a <strong>Customer Service Representative</strong> to serve as the day-to-day point of contact for customers placing orders, checking shipment status, and resolving account questions. This is a great role for someone who enjoys being busy, communicating with people throughout the day, and taking ownership of an issue from the initial call through resolution.</p><p><strong>What You’ll Handle:</strong></p><ul><li>Respond to customer inquiries by phone and email</li><li>Enter and process customer orders</li><li>Provide order status and shipment updates</li><li>Coordinate with warehouse and shipping teams</li><li>Resolve order discrepancies, shortages, and delivery issues</li><li>Prepare quotes and provide basic product information</li><li>Maintain accurate customer account information</li><li>Process returns, credits, and replacement orders</li><li>Follow up on open customer issues</li><li>Communicate product availability and expected delivery dates</li><li>Document customer interactions in the company system</li><li>Partner with sales, operations, and accounting teams</li><li>Identify recurring customer issues and escalate when appropriate</li></ul>
<p>A company in the medical and insurance industry is seeking a detail-oriented Customer Service Representative. This role involves answering insurance-related calls and providing accurate, professional support in a fast-paced environment.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Answer incoming calls and assist with insurance-related questions.</li><li>Gather and accurately document caller information.</li><li>Route inquiries to the appropriate department when needed.</li><li>Manage a high volume of calls while maintaining professional customer service.</li><li>Maintain confidentiality when handling personal and insurance information.</li></ul><p><br></p>
<p>We are seeking a customer-focused <strong>Customer Service Representative</strong> to support a high-volume call center environment. The ideal candidate will have strong communication skills, the ability to handle a large volume of inbound and outbound calls, and a commitment to delivering excellent service while resolving customer inquiries efficiently.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Handle inbound and outbound customer calls in a high-volume call center setting.</li><li>Respond to customer inquiries related to products, services, orders, accounts, or general support needs.</li><li>Resolve customer concerns professionally and escalate more complex issues as needed.</li><li>Accurately document customer interactions, updates, and resolutions in internal systems.</li><li>Maintain service quality standards, response times, and call handling expectations.</li><li>Collaborate with internal departments to support timely issue resolution.</li><li>Assist with additional customer support and administrative tasks as assigned.</li></ul><p><br></p>
<p>We are looking for a bilingual Vietnamese and English Customer Service Representative to support members with pharmacy benefit questions and service needs in Westminster, California. This Contract position is ideal for someone who enjoys helping people over the phone, resolving issues with care, and maintaining accurate records in a fast-paced healthcare environment. The person in this role will serve as a key point of contact for pharmacy-related concerns while working closely with internal teams to deliver responsive, compliant member support.</p><p><br></p><p>Responsibilities:</p><p>• Respond to inbound member and prospective member inquiries related to pharmacy benefits, coverage details, and general service questions.</p><p>• Coordinate with network pharmacies to help members address refill needs and related access issues when additional support is required.</p><p>• Escalate clinical questions or sensitive medication concerns to the appropriate clinical leaders for timely review and follow-up.</p><p>• Partner with internal quality and performance teams to support programs focused on improving medication adherence outcomes.</p><p>• Participate in outbound calling initiatives assigned by leadership to strengthen member engagement and service delivery goals.</p><p>• Follow established procedures, reference materials, and operational guidelines to handle requests accurately and efficiently while identifying workflow concerns to management.</p><p>• Maintain complete and accurate documentation of member interactions, actions taken, and required forms within designated systems according to department standards.</p><p>• Attend team meetings, training sessions, and coaching activities, and apply feedback to improve service quality and performance.</p><p>• Adhere to all applicable federal, state, and organizational compliance requirements related to health plan operations.</p><p>• Perform additional customer service and administrative duties as needed to support department objectives.</p>
<p>We are looking for a bilingual Korean Customer Service Representative to support members with benefit questions, plan information, and issue resolution in a fast-paced healthcare environment. This is a Contract position based in Westminster, California, and it is ideal for someone who can communicate clearly, navigate member concerns with empathy, and provide accurate guidance. The person in this role will help create a positive service experience by addressing inquiries, documenting interactions thoroughly, and partnering with internal teams when additional support is needed.</p><p><br></p><p>Responsibilities:</p><p>• Respond to inbound member inquiries and evaluate each situation carefully to determine the most effective next step.</p><p>• Explain health plan benefits, coverage details, and available options to members, family members, providers, and caregivers in a clear and helpful manner.</p><p>• Investigate service concerns, identify root causes, communicate resolutions, and route complex matters to leadership or the appropriate department when necessary.</p><p>• Support outreach and calling initiatives designed to strengthen member engagement and encourage continued participation.</p><p>• Maintain accurate records of conversations, actions taken, and required follow-up within designated systems and documentation tools.</p><p>• Follow established workflows, reference materials, and service guidelines while contributing ideas that improve team efficiency and member satisfaction.</p><p>• Adhere to applicable federal, state, and organizational compliance standards related to healthcare plan operations.</p><p>• Participate actively in coaching sessions, staff meetings, and training programs to strengthen service quality and performance.</p><p>• Assist with additional tasks as assigned, including occasional travel or weekend coverage during peak periods.</p><p>• Manage high-volume phone interactions while listening attentively, entering information accurately, and providing attentive service throughout each call.</p>
<p><strong>More than customer service — become the person clients remember.</strong></p><p>A well-established North County organization is adding a Customer Experience & Client Services Specialist to its growing team. This opportunity is ideal for someone who enjoys building relationships, solving problems, and keeping customers informed from the first interaction through final resolution.</p><p>The company is looking for someone who can balance a friendly, approachable communication style with strong follow-through and organization. You'll be working with customers, internal departments, and operations teams to coordinate requests, resolve issues, and make sure nothing falls through the cracks. This is a great fit for someone who enjoys a fast-moving office environment and wants a position that offers variety throughout the day. </p><p><br></p><p>The ideal candidate is confident on the phone, comfortable managing a busy inbox, and knows how to turn a frustrated customer interaction into a productive conversation. You'll have ownership over customer requests rather than simply transferring calls or passing issues along.</p><p><br></p><p><strong>What you'll be doing:</strong></p><ul><li>Serve as a primary point of contact for incoming customer calls, emails, and service inquiries.</li><li>Respond to questions regarding orders, account information, scheduling, billing, and service updates.</li><li>Enter customer requests, orders, and account changes into internal systems.</li><li>Monitor open cases and follow up with internal departments to ensure timely resolution.</li><li>Coordinate service appointments, deliveries, customer requests, and scheduling changes.</li><li>Investigate discrepancies and communicate solutions in a clear, professional manner.</li><li>Maintain accurate customer records, notes, and correspondence.</li><li>Assist with invoice questions, payment follow-ups, and basic account reconciliation.</li><li>Prepare daily activity reports and communicate recurring customer concerns to management.</li><li>Work closely with sales, operations, and administrative teams to improve the overall customer experience.</li></ul>
We are looking for a customer-focused individual to join our team as a Contract Customer Service representative. This role is ideal for someone who communicates clearly, resolves issues efficiently, and creates a positive experience for customers across every interaction. The successful candidate will balance day-to-day service support with careful attention to documentation, follow-through, and collaboration with internal teams.<br><br>Responsibilities:<br>• Assist customers by phone, email, or other service channels, providing timely and effective support for questions, concerns, and service requests.<br>• Investigate customer issues thoroughly, identify appropriate solutions, and follow up to ensure concerns are fully resolved.<br>• Maintain accurate records of customer interactions, case updates, and service outcomes within internal systems.<br>• Coordinate with cross-functional teams to escalate complex matters and help drive efficient issue resolution.<br>• Explain products, services, policies, or account details in a clear and customer-friendly manner.<br>• Monitor open inquiries and prioritize tasks to meet response expectations and service standards.<br>• Support process improvement efforts by identifying recurring customer concerns and sharing feedback with leadership.
<p>A growing North County manufacturer is seeking a responsive, organized <strong>Customer Support & Order Management Specialist</strong> to serve as a key connection between customers, sales, warehouse operations, and logistics. This is an excellent opportunity for someone who enjoys helping customers but also likes the administrative and operational side of getting things done.</p><p>You'll manage customer inquiries from initial order entry through delivery updates and resolution of any issues. The team needs someone who can stay organized when priorities change, communicate clearly when something goes off track, and make sure customers receive accurate information rather than being passed from department to department.</p><p><br></p><p><strong>Your responsibilities will include:</strong></p><ul><li>Respond to customer inquiries by phone and email regarding orders, products, availability, and delivery schedules.</li><li>Enter customer orders and verify pricing, quantities, shipping details, and purchase order information.</li><li>Monitor open orders and communicate status updates to customers.</li><li>Coordinate with warehouse and logistics teams regarding shipments, delays, and delivery changes.</li><li>Investigate order discrepancies, damaged shipments, returns, and missing items.</li><li>Process order changes, cancellations, credits, and replacement requests according to company procedures.</li><li>Maintain accurate customer account notes and order records.</li><li>Work with sales representatives to resolve customer concerns and improve service.</li><li>Follow up on outstanding issues until the customer receives a clear resolution.</li><li>Prepare order reports and track recurring customer service issues.</li><li>Assist with account setup and customer documentation.</li><li>Identify workflow improvements that reduce order errors and response times.</li></ul>
<p>A client-focused North County organization is looking for a dependable <strong>Client Care & Service Coordinator</strong> to manage incoming service requests, coordinate schedules, and ensure customers receive timely communication from the initial inquiry through completion.</p><p>This role is a strong fit for someone with a customer service or administrative background who enjoys a combination of phone and email communication, scheduling, data entry, and problem-solving. You'll work closely with field personnel, vendors, account managers, and customers to coordinate service needs and keep everyone informed when priorities or schedules change.</p><p>The ideal candidate is personable, resourceful, and comfortable balancing a busy inbox with frequent follow-up. Strong organizational skills are essential because you'll be responsible for keeping requests from getting lost between departments.</p><p><strong>What you'll be doing:</strong></p><ul><li>Serve as a primary contact for customer service requests, scheduling questions, and account inquiries.</li><li>Log incoming requests into the company's tracking system and assign the appropriate priority.</li><li>Coordinate service appointments, technician schedules, and customer availability.</li><li>Communicate appointment confirmations, schedule changes, and service updates.</li><li>Follow up with internal teams and vendors to verify progress and completion.</li><li>Maintain accurate customer profiles, service records, and contact information.</li><li>Research complaints and service delays and help coordinate resolutions.</li><li>Prepare service estimates, work orders, correspondence, and basic reports.</li><li>Track open requests and escalate urgent or overdue items.</li><li>Assist with invoice questions and direct billing issues to the appropriate team.</li><li>Coordinate recurring service schedules and customer reminders.</li><li>Identify recurring issues and suggest ways to improve the customer experience.</li></ul>