Note: The job is a remote job and is open to candidates in USA. Oscar Health is a health insurance company focused on serving its members through a technology platform. They are hiring a Customer Service Representative to handle customer interactions and back office tasks, ensuring service delivery and compliance with standards.
Responsibilities
- Develop a comprehensive understanding of the current processes, procedures, and tools associated with the Oscar business model
- Work with members, brokers, providers, and Oscar vendors through multiple channels according to assignment needs
- Manage an assigned caseload, maintaining service delivery, productivity, and quality expectations
- Form working relationships with all partners
- Support the leadership team by identifying issues through established escalation pathways
- Monitor and track the health of all assigned work-in-progress issues
- Escalate and resolve issues to ensure appropriate turnaround times
- Participate in process improvement projects
- Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI)
- Compliance with all applicable laws and regulations
- Other duties as assigned
Skills
- 1+ years of experience in a high-volume or customer-focused setting
- 6+ Months of healthcare experience
- High school diploma or GED
- Strong quantitative or analytical skills focused on identifying or solving problems
- Must be bilingual in Spanish and English with full professional proficiency in reading, writing, and speaking
- Experience manipulating and entering accurate data
- Advanced Google Suite or Microsoft Office capabilities
Benefits
- You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.
- Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
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