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Customer Service Representative
Oscar HealthCustomer Service Representative for Oscar Health, a technology-driven health insurer, supporting members, brokers, providers, and vendors remotely in Arizona. Managing caseloads, resolving issues, and maintaining service quality.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong problem-solving abilities and effective communication skills while managing caseloads in a customer-focused healthcare environment. Proficient in compliance with operational and regulatory standards, particularly regarding Personal Health Information (PHI).
Highest-signal resume keywords
Healthcare ExperienceCustomer-Focused Setting ExperienceProblem-Solving SkillsBilingual Spanish and EnglishAdvanced Google Suite or Microsoft Office
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data ManipulationAnalytical SkillsProcess ImprovementService Delivery ManagementQuality Expectations Management
Soft Skills
Relationship BuildingCommunication SkillsEscalation Management
Tools & Technologies
Google SuiteMicrosoft Office
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Personal Health Information (PHI)Operational StandardsRegulatory Compliance
About the role
Key responsibilities & impact- Develop a comprehensive understanding of current processes, procedures, and tools associated with Oscar’s business model
- Work with members, brokers, providers, and Oscar vendors through multiple channels according to assignment needs
- Manage an assigned caseload while maintaining service delivery, productivity, and quality expectations
- Form working relationships with all partners
- Identify issues through established escalation pathways to support the leadership team
- Monitor and track the health of assigned work-in-progress issues
- Escalate and resolve issues to ensure appropriate turnaround times
- Participate in process improvement projects
- Comply with operational, regulatory, and compliance standards relating to member Personal Health Information (PHI)
- Comply with all applicable laws and regulations
- Perform other duties as assigned
- Report to the Concierge Operations Manager
Requirements
What you’ll need- 1+ years of experience in a high-volume or customer-focused setting
- 6+ months of healthcare experience
- High school diploma or GED
- Bonus: Strong quantitative or analytical skills focused on identifying or solving problems
- Bonus: Bilingual Spanish and English with full professional proficiency in reading, writing, and speaking
- Bonus: Experience manipulating and entering accurate data
- Bonus: Advanced Google Suite or Microsoft Office capabilities
Benefits
Comp & perks- 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
- 401(k) plan participation
- Life insurance
- Disability insurance
- Paid wellness time
- Wellness reimbursements
- Occasional company events