Date Posted: 07/15/2026
Hiring Organization: Rose International
Position Number: 504196
Industry: Insurance
Job Title: Member Services Rep
Job Location: Pearland, TX, USA, 77584
Work Model: Hybrid
Work Model Details: Hybrid after training; office days not specified
Shift: Flexible schedules between 8:00 AM and 8:00 PM
Employment Type: Temporary
FT/PT: Full-Time
Estimated Duration (In months): 7
Min Hourly Rate($): 13.70
Max Hourly Rate($): 13.70
Must Have Skills/Attributes: Health Insurance, Healthcare
Experience Desired: Minimum of 5 years of healthcare experience required. (5 yrs); Reliable high-speed wired internet connection (cable, fiber, or DSL required). (5 yrs); Experience supporting Medicare Advantage plans, health insurance, member services, claims, benefit (5 yrs); Strong customer service, multitasking, critical thinking, and problem-solving abilities. (5 yrs); Demonstrated ability to effectively de-escalate difficult member interactions. (5 yrs); Ability to safeguard confidential information and comply with HIPAA regulations. (5 yrs); Comfortable working with multiple applications and systems simultaneously. (5 yrs)
Required Minimum Education: High School Diploma or equivalent
**C2C is not available**
Job Description
Education:
• HS Diploma or equivalent
Required Qualifications
• Minimum of 5 years of healthcare experience required.
• Experience supporting Medicare Advantage plans, health insurance, member services, claims, benefits administration, or healthcare customer service strongly preferred.
• Excellent verbal and written communication skills.
• Strong customer service, multitasking, critical thinking, and problem-solving abilities.
• Demonstrated ability to effectively de-escalate difficult member interactions.
• Ability to safeguard confidential information and comply with HIPAA regulations.
• Comfortable working with multiple applications and systems simultaneously.
• Self-motivated with the ability to work independently in a remote setting after training.
Technical Requirements
• Reliable high-speed wired internet connection (cable, fiber, or DSL required).
• Mobile hotspots and cellular/5G internet connections are not permitted.
• Basic technical proficiency, including the ability to troubleshoot connectivity issues, install computer equipment, and meet workstation setup requirements.
• Ability to work using dual monitors.
Job Summary
We are seeking a dedicated Member Services Representative to provide exceptional customer service and support to health plan members. In this role, you will serve as the primary point of contact for members by assisting with benefits, eligibility, claims, provider searches, pharmacy services, appeals, grievances, and general health plan inquiries. The ideal candidate is an experienced healthcare customer service professional who thrives in a fast-paced call center environment, demonstrates strong problem-solving skills, and is passionate about delivering outstanding member experiences.
Key Responsibilities
• Handle a high volume of inbound calls from health plan members.
• Assist members with questions regarding benefits, eligibility, claims, provider networks, pharmacy services, appeals, grievances, and other health plan inquiries.
• Research and resolve member concerns efficiently while providing accurate information and excellent customer service.
• Utilize empathy, active listening, and de-escalation techniques to address challenging situations and ensure positive member outcomes.
• Accurately document all member interactions while maintaining HIPAA and PHI confidentiality standards.
• Navigate multiple computer systems simultaneously to access member information and complete documentation.
• Support increased call volume during the Annual Enrollment Period (AEP) while maintaining quality and productivity standards.
• Meet established performance metrics for quality, productivity, and member satisfaction.
• Work independently in a remote environment following successful completion of onsite training.
Work Environment
• Initial onsite training at the KCA Pearland Administrative Office is required.
• Position transitions to a remote or hybrid work arrangement upon successful completion of training and performance expectations.
• Candidates must maintain a professional home office environment suitable for handling confidential member information. - **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
Your team at Rose International is always very helpful and responsive.
Barbara, Consultant
Rose International has been great to me. I thank everyone there for all of their hard work; it has not gone unnoticed.
Melody, Consultant
Rose International was not only attentive and responsive, but they were very professional and helpful whenever I called or needed any assistance.
Diane, Consultant
It was great working for Rose International. Everyone was extremely helpful.
Rosann, Consultant
The interactions that I have had with your representatives have always been prompt and very professional. I am very pleased and impressed with your company and services.
Sioe, Consultant
EMPLOYEE COMMENTS