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Agency Service Representative III

United States of America, Houston · Job Posted July 03, 2026
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Job Description

The Agency Service Representative III will provide advanced, high touch service and operational support for Medicare and Dual Eligible (Medicare & Medicaid) members and prospective members, with focus on serving the Spanish speaking community in Houston. The role requires strong product/program knowledge, excellent service judgement, and the ability to meet quality and productivity expectations.

Job Responsibility

  • Assist members and prospective members in person (storefront), by phone, and in writing, providing accurate guidance and service support
  • Respond to inquiries involving Medicare and Dual plan information, benefits, policies/procedures, and general program questions
  • escalate complex issues appropriately
  • Perform basic enrollment and billing maintenance transactions and ensure accurate documentation and follow-through
  • Support special projects and operational needs
  • create and provide reports as needed to support customer/client requirements
  • Coordinate mailings and fulfillment requests
  • Support manager requests including preparation for meetings and community activities may assist with roadshows/outreach events
  • Meet established performance expectations for productivity, timeliness, quality, and customer experience

Requirements

  • Requires a high school diploma or a GED equivalent and a minimum of 5 years of related customer service experience
  • or any combination of education and experience which would provide an equivalent background
  • Bilingual English/Spanish required
  • Experience working in a customer-facing and/or high-volume service environment (in-person and/or phone)
  • Previous health insurance experience supporting the senior and disabled population
  • Knowledge/understanding of Medicare and Medicaid, including Dual Eligible populations
  • Advanced benefits, claims, enrollment, billing, or membership knowledge
  • Experience supporting sales, brokers/agents, and/or community outreach efforts
  • Proficiency with Microsoft Office (Outlook, Excel, Word) and CRM/tools (Salesforce preferred)
  • Active Texas Health & Life Insurance license highly preferred

Nice to have

Active Texas Health & Life Insurance license

What we offer

  • Merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs
  • medical
  • dental
  • vision
  • short and long term disability benefits
  • 401(k) +match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources

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