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Member Engagement Representative

Job ID: 1790274
Reference Code: LI-Member-Engagement Representative

  • $27,000 to $27,000
  • San Juan, 00920

Job Summary

We are seeking a customer-focused Member Engagement Representative for a contract/temporary opportunity in San Juan, PR. This role is ideal for a service-oriented professional who enjoys helping members and providers understand healthcare benefits, resolve concerns, and access the support they need.

As a Member Engagement Representative, you will serve as a primary point of contact in a healthcare services environment, delivering clear communication, professional guidance, and timely issue resolution. This opportunity offers the chance to build valuable experience in the health insurance and call center field while working in a team-oriented setting focused on member satisfaction, retention, and quality service.

The ideal candidate is patient, detail-oriented, and comfortable handling a high volume of customer interactions while maintaining professionalism and empathy. This role is a strong fit for someone who wants to grow within customer support, healthcare services, or member engagement.

Key Responsibilities

- Respond to member and provider inquiries regarding healthcare benefits, services, eligibility, and related account questions.
- Provide accurate information, education, and guidance to help members navigate healthcare-related matters.
- Resolve customer concerns, document interactions, and escalate complex issues when appropriate.
- Support member engagement and retention efforts through professional, proactive service.
- Maintain a positive customer experience while following call center standards, policies, and procedures.
- Collaborate with internal teams to ensure timely and accurate resolution of member and provider needs.

Compensation and Benefits

- Pay rate: $13.00 per hour.
- Job type: Contract/Temporary.
- Location: San Juan, PR.



Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Additional Skills

Required Qualifications and Skills

- Serve as a primary point of contact for members and providers in a healthcare services call center environment.
- Handle customer inquiries, issue resolution, and member support activities.
- Provide education and guidance related to healthcare benefits and services.
- Support member satisfaction, engagement, and retention initiatives.

- Associate Degree with 60 to 64 college credits in Business Administration, Arts, Science, or a related field.
- 1 to 3 years of experience in the health insurance industry, customer service, sales, or call center environments preferred.
- Strong communication skills with the ability to explain information clearly and professionally.
- Customer-focused mindset with strong problem-solving and issue-resolution skills.
- Ability to manage multiple inquiries while maintaining accuracy, empathy, and attention to detail.
- Comfortable working in a structured call center or customer support environment.

Preferred Qualifications

- Experience in the health insurance industry or healthcare services environment.
- Previous call center experience handling member, patient, provider, or customer inquiries.
- Experience supporting customer retention, member engagement, or service quality initiatives.
- Bilingual communication skills may be helpful in a member-facing healthcare support role.

AppleOne Representative Contact Info

Account Executive:
Liliana
Branch Phone:
Location:
Guaynabo, PR