Cust Care Rep I – Bilingual

Elevance Health

Bilingual customer care representative answering insurance benefits, eligibility, and claims questions for Elevance Health. Documenting inquiries and resolving customer issues through phone, email, and computerized systems.

Posted 8/19/2026full-timeSan Juan • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong analytical and problem-solving skills while effectively communicating with internal and external customers. Proficient in utilizing computerized systems for tracking and information gathering to enhance customer service operations.

Highest-signal resume keywords

Customer Service ExperienceAnalytical SkillsProblem-Solving SkillsCommunication SkillsAutomated Customer Service Environment

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Soft Skills

Interpersonal CommunicationFacilitation Skills

Tools & Technologies

PC/Image StationComputerized Systems

Certifications & Qualifications

High School Diploma or Equivalent

Industry Keywords

Insurance BenefitsProvider ContractsEligibilityClaimsOperational Challenges

About the role

Key responsibilities & impact

Complete required basic training
Respond to internal and external customer questions by telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims
Analyze problems and provide information and solutions
Operate a PC/image station to obtain and extract information
Document information, activities, changes, and inquiry outcomes in databases for tracking and analysis
Develop and maintain positive customer relations
Coordinate with company functions to handle customer requests and questions appropriately and promptly
Research and analyze data to address operational challenges and customer service issues
Provide requested information to internal and external customers
Receive and place routine follow-up telephone calls and emails
Use computerized systems for tracking, information gathering, and troubleshooting
Conduct outbound calls in the ZipDrug business area

Requirements

What you’ll need

HS diploma or equivalent
Previous experience in an automated customer service environment; or equivalent combination of education and experience
Must successfully complete required basic training
Must pass the appropriate pre-employment test battery
Strong oral, written, and interpersonal communication skills
Problem-solving skills
Facilitation skills
Analytical skills
Ability to work in-office 1–2 days per week
Must be within a reasonable commuting distance from the posting location(s), unless accommodation is granted as required by law
Certain patient/member-facing roles require COVID-19 and Influenza vaccination, unless an acceptable explanation is provided

Benefits

Comp & perks

Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical benefits
Dental benefits
Vision benefits
Short-term disability benefits
Long-term disability benefits
401(k) with company match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Hybrid work arrangement with virtual-work flexibility
Accommodation support for applicants with disabilities