Customer Service Representative - French Speaking

Job Description

Job Overview: The role requires communication between medical providers and our client as well as members. The customer service rep is to coordinate treatment and provide authorizations/issue GOP’s for members in Latin America, Europe, etc. Respond to inquiries pertaining to authorizations and documentation requirements.

Responsibilities and Duties: • Coordinate and determine approvals, eligibility and inform the medical providers as well as issue GOP’s according to policy and client authorizations • Tracking and follow up of all cases in Latin America ensuring appropriate follow up with the medical providers • Provide guidance, support and advice to international members seeking medical treatments or procedures • Responds to routine phone inquiries and written correspondence related to authorizations and claims status • Screens and routes complex cases to the appropriate manager • Navigates multiple systems to obtain necessary data to issue GOP’s • Verify payments and/or denials as well as treatment authorization status and inform the appropriate party accordingly

Skills and Requirements

• Bilingual French and English speaker • 2+ years of experience in customer service, health insurance field a plus • High school diploma/GED required • Strong analytical, detail-oriented and accuracy skills are required • Ability to manage time effectively, set priorities, meet deadlines as well as adapt to change • Desire to work in a small entrepreneurial environment

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to View email address on click.appcast.io.