Bilingual Customer Service Representative handling client inquiries regarding health insurance services. Delivering exceptional customer service in a fast-paced environment with rotating shifts.
Responsibilities
Responsible for providing phone guidance to clients and/or insured members.
Communicates with members by phone to provide information regarding services covered by their health insurance plan.
Provides guidance, support, and educational services on non-clinical matters related to plan coverages.
Manages incoming calls and refers them to appropriate resources based on member needs.
Documents and records transactions, including details of inquiries and actions taken.
Refers unresolved customer complaints to supervisors for further investigation.
Conducts outbound calls to gather information about services, satisfaction levels, and follow-up activities.
Participates in training and development sessions.
Requirements
Minimum of one (1) year of Customer Service experience.
High school diploma completed and/or university credits (preferred).
Advanced knowledge of computer applications and/or Microsoft Office.
Strong orientation and commitment to customer service.
Excellent verbal and written communication skills.
Bilingual (Spanish and English).
Fast documentation and internet navigation skills.
Availability for rotating shifts (including weekends/holidays), Monday through Sunday, 24/7.
A shift differential is provided.
Benefits
Training in service, regulatory aspects, and health.
24/7 telemedicine service.
Free health and wellness programs for employees.
Growth and development opportunities.
Contribute to the health and well-being of the population.
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