Bilingual Customer Service Representative

Join Our Team as a Health Services Representative! As a Customer Service Representative, you will be the first point of contact for our members and clients, providing guidance over the phone, addressing their needs on first contact, and ensuring a professional, courteous, and efficient service experience. Key Responsibilities: Answer member calls and provide information about their health plan. Offer guidance and education on non-clinical plan coverages and promotions. Document inquiries and actions taken accurately, ensuring compliance. Refer unresolved customer complaints to supervisors or appropriate departments. Participate in outbound calls, Contact Center projects, and training sessions. Maintain confidentiality and comply with all regulations (HIPAA) and internal policies. Requirements: Minimum of 1 year of Customer Service experience. High school diploma; college credits preferred. Proficiency in computer applications and Microsoft Office. Excellent verbal and written communication skills. Strong customer service orientation, empathy, and proactivity. Availability for rotating shifts (Monday to Sunday, including weekends and holidays). Benefits: Training in customer service, regulatory aspects, and healthcare. 24/7 Telemedicine Service. Free employee health and wellness programs. Opportunities for professional growth and development. Contribute to the health and well-being of the population. Paid leave benefits. 401(k) Retirement Plan. Position Type: Full-time Location: On-site in Guaynabo or Mayagüez, PR Equal Employment Opportunity Employer (EEOC)