Customer Service Representative

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

📋 Description

• Acquire a thorough understanding of the current processes, procedures, and tools related to the Oscar business model.

• Collaborate with members, brokers, providers, and Oscar vendors across various channels as per assignment requirements.

• Oversee a designated caseload while upholding service delivery, productivity, and quality standards.

• Build effective working relationships with all partners involved.

• Identify challenges through established escalation routes to assist the leadership team.

• Monitor and keep track of the status of assigned work-in-progress issues.

• Escalate and resolve issues to ensure timely responses.

• Engage in process improvement initiatives.

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

• Follow all relevant laws and regulations.

• Perform additional duties as assigned.

• Report to the Member and Provider Services Team Lead.

⛳️ Requirements

• At least 1 year of experience in a high-volume or customer-oriented environment.

• A minimum of 6 months of experience in healthcare.

• High school diploma or GED is required.

• Strong quantitative or analytical skills centered on problem identification and resolution.

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

• Experience in accurately manipulating and entering data.

• Proficient in Google Suite or Microsoft Office applications.

🏝️ Benefits

• Comprehensive employee benefits.

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

• Medical, dental, and vision insurance options.

• 11 paid holidays annually.

• Paid sick leave.

• Paid parental leave.

• Participation in a 401(k) plan.

• Life and disability insurance coverage.

• Paid wellness time and reimbursements.

• Opportunity to work remotely from a home office.

• Occasional travel for team meetings and company events.