Customer Service Representative

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

📋 Description

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

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

• Oversee an assigned caseload while upholding service delivery, productivity, and quality expectations.

• Cultivate professional relationships with all partners involved.

• Assist the leadership team by recognizing issues through established escalation pathways.

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

• Escalate and address issues to guarantee appropriate turnaround times.

• Engage in process improvement initiatives.

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

• Follow all applicable laws and regulations.

• Execute other duties as assigned.

⛳️ Requirements

• A minimum of 1 year of experience in a high-volume or customer-oriented environment.

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

• High school diploma or GED is required.

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

• Strong quantitative or analytical skills aimed at identifying or resolving issues.

• Experience in data manipulation and accurate data entry.

• Proficient in Google Suite or Microsoft Office applications.

🏝️ Benefits

• Employee benefits.

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

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 11 paid holidays.

• Paid sick time.

• Paid parental leave.

• Participation in a 401(k) plan.

• Life insurance.

• Disability insurance.

• Paid wellness time.

• Wellness reimbursements.

• Occasional travel for team meetings and company events.