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by Chris Durst Apr. 1, 2025
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Wellsense, a nonprofit health insurance company, has posted openings for Remote Member Service Representatives to their careers page.
The job’s open to applicants from the following states: Alabama, Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, and Wisconsin.
The posted pay rate is $19.50/hr. The job comes with comprehensive benefits.
No college is required, though you’ll need a high school diploma or equivalent. Experience required as well, plus a working knowledge of Microsoft Office products, and other requirements listed below.
Following are excerpts from the Remote Member Service Representative job posting:
WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our members, no matter their circumstances.
Customer Care Reps (Work from Home)
Positions are full-time, work from home
Monday-Friday: 1st shift (no weekends) actual shifts may vary anywhere between the hours of 8AM – 6PM EST
Hourly rate: $19.50 per hour
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
As a WellSense Member Service Representative, you’ll serve as the first line of support for our stakeholders by providing accurate and thorough information to current and prospective members, providers and internal customers about our various health plans. In this role, you’ll make a difference for others every day. This role has also proven to be an excellent starting point for long-term growth and advancement in our company.
Our Investment in You:
- Full-time remote work
- WellSense Health Plan is only able to employ in the following states: Alabama, Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, and Wisconsin
- Paid 10-week training period
- Bring your enthusiasm and people skills, and we will train you on the health insurance business and how to confidently resolve inquiries
- Excellent benefits program, including a no-premium health insurance option
- One-on-one mentoring and on-the-job training
- New hire buddy program, Team Assist Line and Ulysses Learning, a leader in customer service and call center learning programs
- Opportunities to increase your title and pay based on demonstrated knowledge, abilities and performance
- Recurring annual cash retention bonus for remaining within the Customer Care position
- Internal employee application program to grow into roles in other departments
- Recognition and rewards for high performance and improvement
- Employee resource groups for corporate diversity and inclusion initiatives
Key Responsibilities:
- Utilize appropriate resource materials to own interactions in order to effectively and accurately interpret‚ respond and resolve customer inquiries and problems while delivering outstanding service as a means to build loyalty, improve retention, and satisfy best-in-service goals and objectives
- Respond to a high volume of incoming calls from members and providers (call length can vary widely, from five minutes to 45 minutes or more)
- Maintain knowledge of WellSense contracts and policies and effectively interpret information
- Employ strong interpersonal skills to handle difficult calls courteously and professionally
- Document calls in accordance with departmental policies
- Work with peers to solve problems and promotes teamwork
- Meet or exceed department’s quality and productivity goals
- Perform other duties as assigned
Qualifications
Education: High school diploma or equivalent required, bachelor’s degree preferred
Experience:
- Prior professional work experience, ideally with customer service
- It’s ok if you haven’t worked in a call center before, we will train you
Competencies, Skills, and Attributes:
- Outstanding customer service skills
- Excellent verbal and written communication skills
- Strong organizational skills with the ability to prioritize a high volume of adjustment requests, multi-task and prioritize work
- Ability to make reasonable and sound business decisions based on established standards and guidelines
- Working knowledge of Microsoft Office products
- Bilingual in Spanish, Portuguese, Haitian Creole or other language is highly desirable
- Able to comfortably work from home with access to a high-speed internet connection
- Regular and reliable attendance
- Ability to work overtime during peak periods
HOW TO APPLY
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CLICK HERE for full details and to apply for this Remote Member Service Representative position. For more jobs like this, check our Newest Jobs & Gigs page. To be the first to hear about jobs like these, join our free Telegram channel. Good luck as you make your work from home plans a reality!
