Healthcare | Member Service Representative II

Healthcare | Member Service Representative

Location: Sacramento, CA

Schedule: Full-time (Onsite) M-F

Contract-to-hire

Overview

Our client, a growing healthcare organization across the West Coast, is seeking a Member Service Representative to support members across multiple health plans. This role focuses on delivering accurate, timely support while resolving complex inquiries and ensuring high-quality member experience.

Key Responsibilities

• Respond to member inquiries across phone, email, chat, and other channels regarding benefits, coverage, and plan details
• Provide support for walk-in members as needed
• Investigate and resolve complex or escalated issues, coordinating with internal teams and external partners
• Assist with claims, billing, and eligibility-related questions from members and partners
• Document all interactions, including appeals and grievances, in accordance with established guidelines
• Educate members on available resources, programs, and self-service tools
• Support urgent or sensitive cases, including access-to-care concerns
• Identify trends or system issues and escalate to leadership as needed

Qualifications

• 2+ years of customer service or call center experience, preferably in healthcare or insurance
• Working knowledge of healthcare plans, benefits, and member services
• Experience handling escalations, claims, or complex member issues
• Strong communication skills across phone and written channels
• Ability to manage sensitive situations with professionalism and empathy
• Detail-oriented with strong documentation accuracy
• Comfortable navigating multiple systems and learning new platforms

What We're Looking For

• Customer-first mindset with a focus on resolution
• Ability to thrive in a fast-paced, high-volume environment
• Strong problem-solving skills
• Collaborative, team-oriented approach

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Equal Opportunity Statement

We are committed to equal opportunity employment and consider all qualified applicants without regard to race, color, religion, sex, national origin, disability, protected veteran status, or any other protected characteristic.

Pay Details: $21.00 to $25.00 per hour

Search managed by: Kristen Silva

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.