Customer Service Representative

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Acquire an in-depth understanding of existing processes, procedures, and tools linked to Oscar's business model.

• Collaborate with members, brokers, providers, and Oscar vendors through various channels based on assignment requirements.

• Oversee an assigned caseload while ensuring adherence to service delivery, productivity, and quality standards.

• Build effective working relationships with all stakeholders.

• Recognize issues through defined escalation pathways to assist the leadership team.

• Track and monitor the status of assigned work-in-progress issues.

• Escalate and resolve issues to guarantee timely resolutions.

• Engage in process improvement initiatives.

• Adhere to operational, regulatory, and compliance standards concerning member Personal Health Information (PHI).

• Comply with all relevant laws and regulations.

• Execute other responsibilities as assigned.

• Report to the Member & Provider Services Team Lead.

⛳️ Requirements

• Minimum of 1 year of experience in a high-volume or customer-centric environment.

• At least 6 months of experience in the healthcare field.

• High school diploma or GED is required.

• Strong analytical or quantitative skills aimed at problem identification and resolution.

• Must be fully bilingual in Spanish and English, with professional proficiency in reading, writing, and speaking.

• Experience in data manipulation and accurate data entry.

• Proficiency in Google Suite or Microsoft Office at an advanced level.

🏝️ Benefits

• Comprehensive employee benefits package.

• Monthly vacation accrual at a rate of 15 days per year.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• 11 paid holidays per year.

• Paid sick leave.

• Paid parental leave.

• Participation in a 401(k) plan.

• Life insurance coverage.

• Disability insurance.

• Paid wellness time and reimbursements available.

• Opportunities for occasional team meetings and company events.