Bilingual Customer Service Rep
Job Summary
This is a volume-driven customer service and production-based role responsible for daily insurance operations and member interactions. The successful candidate will manage caseloads, adhere to standard operating procedures, and report to the Concierge Operations Manager. This is a remote position requiring full professional proficiency in both Spanish and English.
Responsibilities
- Manage member and provider interactions
- Maintain caseload productivity and quality
- Resolve issues via escalation pathways
- Ensure compliance with PHI and regulatory standards
Required Skills
- Bilingual (Spanish/English) fluency
- Customer service experience
- Healthcare industry knowledge
- Data entry and office suite proficiency
Job Details
### Position Overview
This role is a volume-driven customer service and production-based role that handles the daily activities involved in running a health insurance company including customer interactions and back office tasks following standard operating procedures.
### Responsibilities
- Develop a comprehensive understanding of the current processes, procedures, and tools associated with the Oscar business model.
- Work with members, brokers, providers, and Oscar vendors through multiple channels according to assignment needs.
- Manage an assigned caseload, maintaining service delivery, productivity, and quality expectations.
- Form working relationships with all partners.
- Support the leadership team by identifying issues through established escalation pathways.
- Monitor and track the health of all assigned work-in-progress issues.
- Escalate and resolve issues to ensure appropriate turnaround times.
- Participate in process improvement projects.
- Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI).
- Compliance with all applicable laws and regulations.
- Other duties as assigned.
### Requirements
- Must be bilingual in Spanish and English with full professional proficiency in reading, writing, and speaking.
- 1+ years of experience in a high-volume or customer-focused setting.
- 6+ months of healthcare experience.
- High school diploma or GED.
### Bonus Qualifications
- Strong quantitative or analytical skills focused on solving problems.
- Experience manipulating and entering accurate data.
- Advanced Google Suite or Microsoft Office capabilities.