Bilingual Customer Service Representative

Job Summary

Bilingual Customer Service Representative is a full-time position responsible for handling customer inquiries and issues via telephone, internet, or written correspondence while providing support and education about health plans and resources.

Key Responsibilities

• Engages and educates members on their unique needs and health plan resources
• Answers inquiries and resolves issues from members, providers, and plan sponsors
• Documents interactions and assists in processing claims and appeals

Required Qualifications

• Fluency in English and Spanish
• High School Diploma or GED
• Ability to navigate multiple systems and tools
• Knowledge of health plan benefits and regulatory requirements
• Strong communication and empathy skills