Customer Service Representative
TeleMedik
full-time
Posted on:
Location Type: Office
Location: Mayaguez • 🇵🇷 Puerto Rico
Visit company websiteSalary
💰 $12 - $13 per hour
Job Level
Junior
About the role
- Communicates with members by phone to provide information about their respective health insurance plan services.
- Offers guidance, support, and educational services on non-clinical matters related to the different plan coverages and promotions.
- Manages incoming calls and refers them to the appropriate resources based on the member’s specific needs.
- Documents and records transactions, including details of inquiries and actions taken.
- Refers unresolved customer complaints to a supervisor or designated departments for further investigation.
- Supports other Contact Center projects.
- Conducts outbound phone interviews with members regarding services, satisfaction levels, and follow-up activities.
- Participates in training and development sessions.
- Ensures confidentiality and compliance with all applicable state and federal health call center regulations, including HIPAA and internal policies for handling confidential information.
- Immediately reports any Protected Health Information (PHI) exposure to the supervisor.
- Complies with core and functional trainings, as well as all procedures established by regulatory agencies, contractual requirements, and applicable certification standards (including but not limited to URAC).
Requirements
- Minimum of one (1) year of experience in Customer Service.
- Completed high school and/or university credits (preferred).
- Advanced knowledge of computer applications and/or Microsoft Office.
- Strong customer service orientation and commitment.
- Excellent verbal and written communication skills.
- Fast documentation and internet navigation skills.
- Availability for rotating shifts (including weekends/holidays), Monday to Sunday from 7:00 a.m. to 7:00 p.m.
Benefits
- Training in service, regulatory aspects, and healthcare.
- 24/7 Telemedicine service.
- Free employee health and wellness programs.
- Opportunities for growth and development.
- Contributing to the health and well-being of the population.
- Paid leave benefits.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
customer servicedocumentationinternet navigationMicrosoft Officephone communicationcall managementdata entryconfidentiality complianceHIPAA complianceURAC standards
Soft skills
communication skillscustomer service orientationproblem-solvingteam collaborationtraining participationsupportive guidanceeducational servicesconflict resolutionattention to detailadaptability